Individual
KELLY COLLEEN BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTA
Contact information
Practice address
805 STATE FARM RD STE 304, BOONE, NC 28607-4914
(561) 373-0852
Mailing address
805 STATE FARM RD STE 304, BOONE, NC 28607-4914
(561) 373-0852
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2094
NC
Other
Enumeration date
01/22/2019
Last updated
03/07/2022
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