Individual
KATHERINE LEE WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1835 DAVIE AVE STE 411, STATESVILLE, NC 28677-3578
(704) 892-5339
Mailing address
1835 DAVIE AVE STE 411, STATESVILLE, NC 28677-3578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11901
NC
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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