Provider Demographics
NPI:1386482321
Name:REDMOND, KATINA (LMFTA, NCC)
Entity type:Individual
Prefix:
First Name:KATINA
Middle Name:
Last Name:REDMOND
Suffix:
Gender:F
Credentials:LMFTA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E DAVIE ST STE 140
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-2093
Mailing Address - Country:US
Mailing Address - Phone:919-514-3566
Mailing Address - Fax:919-516-0057
Practice Address - Street 1:500 E DAVIE ST STE 140
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-2093
Practice Address - Country:US
Practice Address - Phone:919-514-3566
Practice Address - Fax:919-516-0057
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20190A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist