Individual
MRS. KATHRYN DURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
13420 REESE BLVD W, HUNTERSVILLE, NC 28078-7925
(704) 937-2286
Mailing address
6022 BLUE ASH LN, CHARLOTTE, NC 28215-4535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25279A
—
106H00000X
Marriage & Family Therapist
Primary
12159A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12159A
LICENSURE NUMBER
NC
01
—
LCAS-25279
SUBSTANCE ABUSE LICENSURE NUMBER
NC
Enumeration date
07/10/2019
Last updated
07/10/2019
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