Basic Information
| Provider Information | |||||||||
| NPI: | 1003005588 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KIHORO | ||||||||
| FirstName: | DUNCAN | ||||||||
| MiddleName: | NJARAMBA | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MA, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8211 WILLOWGLEN DR | ||||||||
| Address2: | |||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276163346 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192667784 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8211 WILLOWGLEN DR | ||||||||
| Address2: | |||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276163346 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192667784 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2007 | ||||||||
| LastUpdateDate: | 10/19/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 6680 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.