Individual
MS. TAI A KULENIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPS, LPC, ATR-BC
Contact information
Practice address
416 W. RIDGE STREET, ROSE HILL, NC 28458-0880
(910) 289-2610
(910) 289-4410
Mailing address
PO BOX 880, 416 W RIDGE STREET, ROSE HILL, NC 28458-0880
(910) 289-2610
(910) 289-4410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4773
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1399C
BCBS
NC
05
—
6102118
—
NC
Enumeration date
01/12/2006
Last updated
08/15/2012
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