Individual
MRS. MARY KASSANDRA WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2231 NASH ST NW STE G, WILSON, NC 27896-1712
(252) 291-8909
(252) 291-9223
Mailing address
2231 NASH ST NW STE G, WILSON, NC 27896-1712
(252) 291-8909
(252) 291-9223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102152
—
NC
Enumeration date
10/16/2006
Last updated
07/08/2007
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