MEDICARE: DONNA COREY BALDWIN LPC NBCC MAED

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
1	101YP2500X	Professional Counselor	2036	NC

General Provider Information

NPI Number	:	1922202639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA COREY BALDWIN LPC NBCC MAED

Provider Business Mailing Address
First Line	:	655 DOBBINS RD
Second Line	:
City	:	ELLENBORO
State	:	NC
Zip	:	28040-9394
Country	:	US
Telephone Number	:	828-453-1771
Fax Number	:

Provider Business Practice Location Address
First Line	:	655 DOBBINS RD
Second Line	:
City	:	ELLENBORO
State	:	NC
Zip	:	28040-9394
Country	:	US
Telephone Number	:	828-453-1771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	07/08/2007

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