Individual
KELLY MILLER SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1251 PINNACLE CHURCH ROAD, NEBO, NC 28761-5753
(828) 659-3418
(828) 659-3291
Mailing address
PO BOX 1149, NEBO, NC 28761-0964
(828) 659-3418
(828) 659-3291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2816
NC
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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