Basic Information
| Provider Information | |||||||||
| NPI: | 1285695353 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BUDINE | ||||||||
| FirstName: | JOAN | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 205 LENOIR RD | ||||||||
| Address2: | |||||||||
| City: | MORGANTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286552613 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9103913536 | ||||||||
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| Practice Location | |||||||||
| Address1: | 207 QUEEN ST | ||||||||
| Address2: | |||||||||
| City: | MORGANTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286553341 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8284398191 | ||||||||
| FaxNumber: | 8284392588 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2006 | ||||||||
| LastUpdateDate: | 04/01/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | C004969 | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | 004969 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.