Basic Information
| Provider Information | |||||||||
| NPI: | 1609167915 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KAUFMANN | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | CARL | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LCMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 383 MERRIMON AVE STE C | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288011223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8287755535 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 383 MERRIMON AVE STE C | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288011223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8287755535 | ||||||||
| FaxNumber: | 8285441201 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2011 | ||||||||
| LastUpdateDate: | 06/21/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | A8294 | NC | N | Behavioral Health & Social Service Providers | Counselor | 101YM0800X | 8294 | NC | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | 8294 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.