Kristy L Locklear, LCSWA

Individual provider Active NPI Mental Health Counselor · Maxton, NC

NPI 1700239142 · NPPES record last updated Jul 21, 2016

Key facts

NPI
1700239142
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
P010461 (NC)
Practice address
506 Sanderson Rd
Maxton, NC 28364-8504
Phone
(910) 734-4422
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P010461NCMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P010461 NC Yes

Addresses

Primary practice location

506 Sanderson Rd
Maxton, NC 28364-8504

Mailing address

506 Sanderson Rd
Maxton, NC 28364-8504
Phone (910) 734-4422

Other providers in Maxton, NC

All providers in Maxton, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.