Provider Demographics
NPI:1225514813
Name:KINTO, NATASHA JONES (MAED, LCMHC, NCC)
Entity Type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:JONES
Last Name:KINTO
Suffix:
Gender:F
Credentials:MAED, LCMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1710
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-1710
Mailing Address - Country:US
Mailing Address - Phone:910-280-1392
Mailing Address - Fax:
Practice Address - Street 1:902 HENRY BERRY RD
Practice Address - Street 2:
Practice Address - City:ROWLAND
Practice Address - State:NC
Practice Address - Zip Code:28383-9491
Practice Address - Country:US
Practice Address - Phone:910-280-1392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13354101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health