Individual
MRS. KIMBERLY FENA HAMELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
416 MCCULLOUGH DR STE 205, CHARLOTTE, NC 28262-4392
(704) 912-1725
Mailing address
416 MCCULLOUGH DR STE 205, CHARLOTTE, NC 28262-4392
(704) 912-1725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-20765
NC
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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