MRS. Kim J Kelly, LCAS

NPI #1730457193 in Selma, North Carolina

Provider Information

NPI Number: 1730457193
Entity Type: Individual
Name: MRS. Kim J Kelly, LCAS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCAS
Enumeration Date: Dec 13, 2011
Last Updated: Feb 25, 2016

Practice Location

Address: 200 S POLLOCK ST
City: Selma
State: North Carolina
ZIP Code: 27576-3062
Phone: (919) 965-6770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X

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Organizations

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