Organization
CHRYSALIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANDACE KOONTZ PERRYMAN LPC, NCC, NCSC (OWNER, PSYCHOTHERAPIST)
(336) 885-2116
Entity
Organization
Contact information
Practice address
1312 HAMILTON PL, SUITE 105, HIGH POINT, NC 27265
(336) 885-2116
Mailing address
1312 HAMILTON PL, SUITE 105, HIGH POINT, NC 27265
(336) 885-2116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4873
NC
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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