Provider Demographics
NPI:1467184861
Name:SALEMI, CAITLIN EVERETT (LCMHCA)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:EVERETT
Last Name:SALEMI
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:CAT
Other - Middle Name:EVERETT
Other - Last Name:SALEMI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5202 ROSE GARDEN LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3381
Mailing Address - Country:US
Mailing Address - Phone:919-599-1111
Mailing Address - Fax:
Practice Address - Street 1:1800 MARTIN LUTHER KING JR PKWY STE 100
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3500
Practice Address - Country:US
Practice Address - Phone:721-199-5995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-26
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17663101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health