Provider Demographics
NPI:1285886077
Name:UZZELL, KAMALA LATORI (PHD, LPC, NCC)
Entity type:Individual
Prefix:
First Name:KAMALA
Middle Name:LATORI
Last Name:UZZELL
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5836 FAYETTEVILLE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6692
Mailing Address - Country:US
Mailing Address - Phone:919-484-2222
Mailing Address - Fax:919-484-2227
Practice Address - Street 1:5836 FAYETTEVILLE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6692
Practice Address - Country:US
Practice Address - Phone:919-484-2222
Practice Address - Fax:919-484-2227
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7050101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional