Organization
BLUE RIDGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE KELLY LPC, LCAS (PARTNER)
(336) 677-3991
Entity
Organization
Contact information
Practice address
110 W ELM ST, YADKINVILLE, NC 27055-8203
(336) 677-3991
(336) 677-1359
Mailing address
PO BOX 1758, YADKINVILLE, NC 27055-1758
(336) 677-3991
(336) 677-1359
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1223
NC
101YP2500X
Professional Counselor
Primary
1070
NC
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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