Basic Information
| Provider Information | |||||||||
| NPI: | 1477892792 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CUTTLER | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | ANITA | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | CAC CSAC CPGC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 503 COURTHOUSE DR | ||||||||
| Address2: | |||||||||
| City: | MORRISVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275608308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126576325 | ||||||||
| FaxNumber: | 9196503712 | ||||||||
| Practice Location | |||||||||
| Address1: | 3200 SPRING FOREST RD | ||||||||
| Address2: | 214 | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276162811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198342000 | ||||||||
| FaxNumber: | 9198342001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2013 | ||||||||
| LastUpdateDate: | 02/06/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 4255 | PA | N | Behavioral Health & Social Service Providers | Counselor | 101YA0400X | 2427 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YA0400X | 4255 | PA | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.