Provider Demographics
NPI:1568887586
Name:MARSHBURN, KARA NICOLE (LPC)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:NICOLE
Last Name:MARSHBURN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:KARA
Other - Middle Name:MARSHBURN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1101 PEMBERTON HILL RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502
Mailing Address - Country:US
Mailing Address - Phone:919-434-6398
Mailing Address - Fax:919-557-2089
Practice Address - Street 1:1101 PEMBERTON HILL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502
Practice Address - Country:US
Practice Address - Phone:919-434-6398
Practice Address - Fax:919-557-2089
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9861101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health