Provider Demographics
NPI:1396209185
Name:SALMON, PAULA B (LPCA)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:B
Last Name:SALMON
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8222 CEDAR HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-8204
Mailing Address - Country:US
Mailing Address - Phone:336-451-1024
Mailing Address - Fax:
Practice Address - Street 1:8222 CEDAR HOLLOW RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-8204
Practice Address - Country:US
Practice Address - Phone:336-451-1024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14429101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health