Individual
MR. CARL HATHAWAY HANBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
305 E MAIN ST, ELIZABETH CITY, NC 27909-4425
(252) 335-0803
(252) 335-9143
Mailing address
305 E MAIN ST, ELIZABETH CITY, NC 27909-4425
(252) 335-0803
(252) 335-9143
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
777
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102513
—
NC
Enumeration date
09/21/2006
Last updated
07/09/2007
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