Healthcare Provider Details

I. General information

NPI: 1003341454
Provider Name (Legal Business Name): SONIA ESTHER ECHEVARRIA LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 04/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 LLOYD ST
CARRBORO NC
27510-1821
US

IV. Provider business mailing address

299 LLOYD ST
CARRBORO NC
27510-1821
US

V. Phone/Fax

Practice location:
  • Phone: 919-933-8494
  • Fax: 919-663-1635
Mailing address:
  • Phone: 919-933-8494
  • Fax: 919-663-1635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA12930
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: