Kenneth Charles Colston
NPI #1578803086 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1578803086
- Entity Type
- Individual
- Name
- Kenneth Charles Colston
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Feb 20, 2013
- Last Updated
- Feb 20, 2013
Practice Location
- Address
- 120 COASTAL HORIZONS DR
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-6094
- Phone
- (910) 754-4515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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