Individual
MRS. KRISTINA LEE DEMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
128 HARDIN DR, MAYSVILLE, NC 28555-9378
(910) 650-1215
Mailing address
128 HARDIN DR, MAYSVILLE, NC 28555-9378
(910) 650-1215
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12543
NC
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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