Individual
MRS. KRISTEN LUCILLE BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10919 HOLLY RIDGE BLVD, CHARLOTTE, NC 28216-0724
(704) 658-7856
Mailing address
10919 HOLLY RIDGE BLVD, CHARLOTTE, NC 28216-0724
(704) 658-7856
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A10257
NC
Other
Enumeration date
04/07/2014
Last updated
04/08/2014
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