Individual
DEBORAH KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACC, LPCA
Contact information
Practice address
18125 W CATAWBA AVE STE 5, CORNELIUS, NC 28031-5641
(571) 528-8213
Mailing address
14404 RHIANNON LN, HUNTERSVILLE, NC 28078-1257
(571) 528-8213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13945
NC
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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