Healthcare Provider Details

I. General information

NPI: 1437509510
Provider Name (Legal Business Name): MRS. KAMALPREET KAUR CHAUHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 NAVAHO DR
RALEIGH NC
27609-7335
US

IV. Provider business mailing address

911 HAY ST
FAYETTEVILLE NC
28305-5313
US

V. Phone/Fax

Practice location:
  • Phone: 919-457-1200
  • Fax:
Mailing address:
  • Phone: 910-438-0939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10814
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: