Provider Demographics
NPI:1285264986
Name:SALMON, KATE E
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:E
Last Name:SALMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 MAINLINE BLVD APT 9106
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-0607
Mailing Address - Country:US
Mailing Address - Phone:571-721-1774
Mailing Address - Fax:
Practice Address - Street 1:1632 MAINLINE BLVD APT 9106
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-0607
Practice Address - Country:US
Practice Address - Phone:571-721-1774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-22
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health