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MRS. KATHY J. SELF-CREGO CSAC (CERTIFIED SUBS NPI 1932400959


NPI Information

NPI: 1932400959
Provider Name: MRS. KATHY J. SELF-CREGO, CSAC (CERTIFIED SUBS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
520 UNION RD
GASTONIA, NC
ZIP 28054
Phone: (704) 868-8328
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MRS. Kathy J. Self-crego, CSAC (CERTIFIED SUBS is an addiction (substance use disorder) counselor in Gastonia, NC. MRS. Kathy J. Self-crego, CSAC (CERTIFIED SUBS NPI is 1932400959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

520 UNION RD
GASTONIA, NC
ZIP 28054-450
Phone: (704) 868-8328
Fax: (704) 868-8332

The enumeration date for this NPI number is 11/8/2010 and was last updated on 11/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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