Individual
CARLA LYDIA KUCINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA, NCC
Contact information
Practice address
PO BOX 412, JAMESTOWN, NC 27282-0412
(336) 402-4695
Mailing address
203 E. MAIN ST., PO BOX 412, JAMESTOWN, NC 27282-9864
(336) 402-4695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15037
NC
Other
Enumeration date
09/08/2019
Last updated
07/10/2024
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