Provider Demographics
NPI:1811683840
Name:KALB, PAUL MICHAEL (THERAPIST COUNSELOR)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:MICHAEL
Last Name:KALB
Suffix:
Gender:M
Credentials:THERAPIST COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 STONEWOOD LOOP LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27537-6495
Mailing Address - Country:US
Mailing Address - Phone:208-318-6802
Mailing Address - Fax:
Practice Address - Street 1:133 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:NC
Practice Address - Zip Code:27589-1953
Practice Address - Country:US
Practice Address - Phone:252-879-0091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18536101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health