Billy Chinault

Individual provider Active NPI Professional Counselor · King, NC

NPI 1700548104 · NPPES record last updated Oct 12, 2021

Key facts

NPI
1700548104
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
000007498304 (NC)
Practice address
112 Timber Creek CT
King, NC 27021-9607
Phone
(336) 502-4548
NPI assigned
Oct 12, 2021
Sex
Male
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

LicenseStateTypeSpecialty
000007498304NCMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 000007498304 NC Yes

Addresses

Primary practice location

112 Timber Creek CT
King, NC 27021-9607

Mailing address

112 Timber Creek CT
King, NC 27021-9607

Other providers in King, NC

All providers in King, NC · Professional Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.