Individual
KAITLYN DEANNE ISHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMHCA, NCC
Contact information
Practice address
1437 MILITARY CUTOFF RD STE 210, WILMINGTON, NC 28403-3638
(910) 240-2489
(910) 447-4421
Mailing address
613 LEGACY CT APT 42, WINTERVILLE, NC 28590-5103
(704) 661-7123
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A18553
NC
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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