MS. Kimberly Robin Outlaw, LCAS-A
NPI #1821462292 in La Grange, North Carolina
Provider Information
- NPI Number
- 1821462292
- Entity Type
- Individual
- Name
- MS. Kimberly Robin Outlaw, LCAS-A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCAS-A
- Enumeration Date
- Nov 21, 2015
- Last Updated
- Nov 21, 2015
Practice Location
- Address
- 3367 PONDEROSA DR
- City
- La Grange
- State
- North Carolina
- ZIP Code
- 28551-8067
- Phone
- (252) 566-9125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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