Basic Information
| Provider Information | |||||||||
| NPI: | 1972963627 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BURE | ||||||||
| FirstName: | KRISTIN | ||||||||
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| Credential: | LCAS, LCSWA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 99 ASCENSION DR | ||||||||
| Address2: | APARTMENT G122 | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288061927 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 119 TUNNEL RD | ||||||||
| Address2: | SUITE D | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288051869 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8283501000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2016 | ||||||||
| LastUpdateDate: | 02/23/2016 | ||||||||
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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 | 101YA0400X | 20348 | NC | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 1041C0700X | P008848 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.