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Organization
KEYS TO RECOVERY COUNSELING SERVICES, PLLC
Active
Organization
KEYS TO RECOVERY COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE SPENCER VANN LCSW, LCAS (MANAGING PARTNER/CLINICAL DIRECTOR)
(919) 435-8164
Entity
Organization
Contact information
Practice address
1784 HERITAGE CENTER DR, SUITE 204, WAKE FOREST, NC 27587-3989
(919) 435-8164
Mailing address
308 E SPRING ST, WAKE FOREST, NC 27587-2640
(919) 435-8164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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