Individual
CHRISTINE DECAROLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPCA
Contact information
Practice address
950 WINDY RD STE 305, APEX, NC 27502-2410
(919) 272-1388
(919) 303-5986
Mailing address
950 WINDY RD STE 305, APEX, NC 27502-2410
(919) 272-1388
(919) 303-5986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A14066
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1098152
NATIONAL BOARD OF CERTIFIED COUNSELORS
—
01
—
A14066
NC BOARD OF LICENSED PROFESSIONAL COUNSELORS
NC
Enumeration date
07/10/2018
Last updated
07/10/2018
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