Individual
MRS. KANDACE KOONTZPERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, MA
Contact information
Practice address
1312 HAMILTON PL, ST. 105, HIGH POINT, NC 27262
(336) 885-2116
Mailing address
1312 HAMILTON PLACE, SUITE 105, HIGH POINT, NC 27262
(336) 885-2116
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4873
NC
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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