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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KRISTINA NICHOLE TAYLOR CLEMMONS, LCMHC, LCAS

Active Sole Proprietor

MRS. KRISTINA NICHOLE TAYLOR CLEMMONS, LCMHC, LCAS is a Professional Counselor healthcare provider located in SHALLOTTE, North Carolina. NPI 1467743930 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · SHALLOTTE, NC

Registration Details

NPI Number
1467743930
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2011 (15.104808383873 yrs)
Last Updated
Jan 17, 2023
Licenses
3394 (NC)
A8665 (NC)
8665 (NC)
8665 (NC)
Sole Proprietor
Yes

Practice Information

Address
120 COASTAL HORIZONS DR
SHALLOTTE, NC, 284706094
Browse NC providers · Browse ZIP 28470
Phone
9107544515
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in SHALLOTTE, NC

Name Credential NPI
CAROL ANN HOLDER LMFT, LPC 1477767416
MRS. CYNTHIA MARLOWE CHEERS LPC, NCC 1497960389
MR. STEVEN ROY KAMKE LCMHCS, LCAS 1295902344
MRS. DEBORAH ANN SILVA LCMHC, LCAS 1467714998
MARSHALL BRUCE GARRIS M.ED., LPC 1235480666
MRS. COURTNEY A MILLIKEN LPC 1679826184
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.