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NPI Code Detail

MEDICARE: KATHRYN HEWITT LCMHC

MEDICARE:   KATHRYN  HEWITT  LCMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor15413NC

General Provider Information

NPI Number : 1881262061
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN HEWITT LCMHC
Provider Business Mailing Address
First Line : 3000 BETHESDA PLACE
Second Line : SUITE 503 PMB 1006
City : WINSTON SALEM
State : NC
Zip : 27103-2283
Country : US
Telephone Number : 336-462-9510
Fax Number :
Provider Business Practice Location Address
First Line : 3000 BETHESDA PLACE
Second Line : SUITE 503 PMB 1006
City : WINSTON SALEM
State : NC
Zip : 27103-2283
Country : US
Telephone Number : 336-462-9510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2021
Last Update Date : 12/10/2024

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Directions to “ KATHRYN HEWITT LCMHC” Practice Location

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