Individual
MS. KIMBERLY MOODY SORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
203 WHITE ST, MORGANTON, NC 28655-3417
(828) 433-1221
Mailing address
PO BOX 3285, DREXEL, NC 28619-3285
(828) 432-7649
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
06/22/2010
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