Healthcare Provider Details

I. General information

NPI: 1326624677
Provider Name (Legal Business Name): KAITLIN DRAPKIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 09/04/2023
Certification Date: 09/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2670 DURHAM CHAPEL HILL BLVD
DURHAM NC
27707-2829
US

IV. Provider business mailing address

780 AMERICAN LEGION HWY
ROSLINDALE MA
02131-3908
US

V. Phone/Fax

Practice location:
  • Phone: 919-251-9001
  • Fax:
Mailing address:
  • Phone: 617-267-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: