Provider Demographics
NPI:1023631959
Name:NEESE, CAROLYN (LMFT, CCTP-II)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:NEESE
Suffix:
Gender:F
Credentials:LMFT, CCTP-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 NORTHPOINT AVE STE 102A
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7724
Mailing Address - Country:US
Mailing Address - Phone:336-937-6524
Mailing Address - Fax:
Practice Address - Street 1:175 NORTHPOINT AVE STE 102A
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7724
Practice Address - Country:US
Practice Address - Phone:336-937-6524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-27
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1974106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist