Individual
MARY-JACQUELINE DELORES KERSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
549 COX RD, GASTONIA, NC 28054-0628
(704) 332-9001
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25600-A
NC
Other
Enumeration date
04/12/2018
Last updated
12/11/2020
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