Individual
KELSIE ANN ADKISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CRC, LPCA
Contact information
Practice address
5171 GLENWOOD AVE STE 221, RALEIGH, NC 27612-3266
(800) 662-7119
Mailing address
410 BIRCH RUN DR, DURHAM, NC 27712-1464
(307) 286-5632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13712
NC
225C00000X
Rehabilitation Counselor
00211221
NC
Other
Enumeration date
10/31/2019
Last updated
03/09/2020
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