Individual
HEATHER L DUNLEAVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
950 GRAVES ST STE G, KERNERSVILLE, NC 27284-3246
(336) 497-5271
(336) 360-6724
Mailing address
950 GRAVES ST STE G, KERNERSVILLE, NC 27284-3246
(336) 497-5271
(336) 360-6724
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1930
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811567977
NPI
NC
Enumeration date
07/28/2016
Last updated
10/06/2021
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