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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500X7134 (NC)
Counselor Primary 101Y00000XS7134 (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.