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Individual

KIMBERLY SUSAN CASTANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAS, LPC, CCS

Contact information

Practice address
33 SHARON LYNNE WAY, CLYDE, NC 28721-8285
(828) 226-5533
(828) 627-1307
Mailing address
PO BOX 250, BALSAM, NC 28707-0250
(828) 226-5533
(828) 627-1307

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1910
NC
101YP2500X
Professional Counselor
8120
NC

Other

Enumeration date
10/17/2011
Last updated
01/08/2016
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