Katherine Bray
Individual provider Active NPI Mental Health Counselor · Davidson, NC
NPI 1467008409 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1467008409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- A14380 (NC)
- Practice address
- 709 Northeast Dr Ste 22
Davidson, NC 28036-7425 - Phone
- (704) 931-3621
- NPI assigned
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A14380 | NC | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A14380 | NC | Yes |
Addresses
Primary practice location
709 Northeast Dr Ste 22
Davidson, NC 28036-7425
Mailing address
709 Northeast Dr Ste 22
Davidson, NC 28036-7425
Other practice location 1
7840 Hwy 73
Stanley, NC 28164-2816
Phone (704) 931-3621
Other providers in Davidson, NC
- Amanda Jones Bossert
- Lynneice Lasinda Bowen
- BPM Counseling, PLLC
- Brandi R. Jackson DDS, Ms, PLLC
- Taylor Brant
- Linda Bresnahan
- Brian T. Seese, D.M.D., P.a.
- Allison Caitlin Broome
- Abigail Brown
- Dena Brown
All providers in Davidson, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.