Individual
KELLI HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 DEN-MAC DR, BOONE, NC 28607-6543
(828) 263-8171
(828) 263-0995
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2898
NC
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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