Individual provider · Type 1 NPI
Tasha L. Kornegay, PhD
Counselor · Raleigh, NC
NPI number
1295986495
Active
Practice location
4909 Waters Edge Dr, Suite 104
Raleigh, NC 27606-2462
Mailing address
1702 Sheriff Watson Rd
Sanford, NC 27332-6720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | 7134 (NC) |
| Counselor Primary | 101Y00000X | S7134 (NC) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1295986495
Tasha L. Kornegay, PhD's National Provider Identifier is 1295986495, issued on Oct 6, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Raleigh, NC. The record was last updated on Aug 5, 2022.