Provider Demographics
NPI:1558592923
Name:DENSON, KARRIE LUCILLE (LPC)
Entity Type:Individual
Prefix:
First Name:KARRIE
Middle Name:LUCILLE
Last Name:DENSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 PINCKNEY ST
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-2220
Mailing Address - Country:US
Mailing Address - Phone:910-640-5507
Mailing Address - Fax:910-641-0606
Practice Address - Street 1:416 FAIRLEY ST
Practice Address - Street 2:SUITE E
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-3612
Practice Address - Country:US
Practice Address - Phone:910-276-8545
Practice Address - Fax:910-276-8587
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6978101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional