Provider Demographics
NPI:1598753170
Name:DURHAM, DOCKERY ROBERTS (NCC, NCSC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:DOCKERY
Middle Name:ROBERTS
Last Name:DURHAM
Suffix:
Gender:F
Credentials:NCC, NCSC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WEYBRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8960
Mailing Address - Country:US
Mailing Address - Phone:919-401-6601
Mailing Address - Fax:
Practice Address - Street 1:1709 LEGION RD
Practice Address - Street 2:SUITES 112 & 113
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-2375
Practice Address - Country:US
Practice Address - Phone:919-968-4444
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4497101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional