Individual
ROSELLA KIM EDWARDS-EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A, LPC-A
Contact information
Practice address
4035 UNIVERSITY PKWY STE 101, WINSTON SALEM, NC 27106-3275
(336) 866-9526
Mailing address
6652 RIDGE BLUFF DR, RURAL HALL, NC 27045-9873
(336) 866-9526
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-24307
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YP2500X
Professional Counselor
Primary
A14670
NC
Other
Enumeration date
06/18/2018
Last updated
08/15/2019
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