Organization
KIKI COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAKEENAH DAVID (OWNER)
(980) 254-4744
Entity
Organization
Contact information
Practice address
6521 NEVIN GLEN DR, CHARLOTTE, NC 28269-6403
(980) 254-4744
Mailing address
6521 NEVIN GLEN DR, CHARLOTTE, NC 28269-6403
(980) 254-4744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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