Individual
GEORGIA KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 S CENTENNIAL ST, HIGH POINT, NC 27260-5215
(336) 845-5452
Mailing address
211 S CENTENNIAL ST, HIGH POINT, NC 27260-5215
(336) 845-5452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
364
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111383
—
NC
Enumeration date
02/05/2007
Last updated
07/08/2007
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