Audrey Howell D'Antuono, LPC
Individual provider Active NPI Professional Counselor · Eden, NC
NPI 1780905570 · NPPES record last updated Jun 16, 2010
Key facts
- NPI
- 1780905570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 7930 (NC)
- Practice address
- 345 Walter Chambers St
Eden, NC 27288-3421 - Phone
- (336) 432-7772
- NPI assigned
- Jun 16, 2010
- 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 |
|---|---|---|---|
| 7930 | NC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7930 | NC | Yes |
Addresses
Primary practice location
345 Walter Chambers St
Eden, NC 27288-3421
Mailing address
345 Walter Chambers St
Eden, NC 27288-3421
Phone (336) 432-7772
Other providers in Eden, NC
- Rikki Lynn Creech
- Creolia'S House LLC
- Caroline Taylor Crockett
- Amanda Crouch
- Robert L Crouch
- Deborah S Dabbs
- John R Dabbs Jr.
- Tessarah Dalleave
- Danny Ray Dalton
- Terry G Daniel
All providers in Eden, NC · Professional 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 Jun 16, 2010. 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.