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Organization
EXPLORATIONS
Active
Organization
EXPLORATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE LYNN NUTT LCSW, LCAS, CCS (OWNER)
(828) 577-2598
Entity
Organization
Contact information
Practice address
119 DOWNING PARK CT UNIT D, BREVARD, NC 28712-4080
(828) 577-2598
Mailing address
119 DOWNING PARK CT UNIT D, BREVARD, NC 28712-4080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
711
NC
1041C0700X
Clinical Social Worker
C004355
NC
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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