| Chrysalis | |
|
1312 Hamilton Pl Suite 105 High Point NC 27265 | |
| (336) 885-2116 | |
| Not Available |
| Full Name | Chrysalis |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1312 Hamilton Pl, High Point, North Carolina |
| Authorized Official Name and Position | Kandace Koontz Perryman (OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 3368852116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis 1312 Hamilton Pl Suite 105 High Point NC 27265 Ph: (336) 885-2116 | Chrysalis 1312 Hamilton Pl Suite 105 High Point NC 27265 Ph: (336) 885-2116 |
| NPI Number | 1346573417 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 09/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346573417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4873 (North Carolina) | Primary |
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