Individual
EDNA GAIL STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC-A, LCAS, NCC
Contact information
Practice address
2902 N HERRITAGE ST STE A, KINSTON, NC 28501-1580
(252) 686-5020
(252) 686-5069
Mailing address
2902 N HERRITAGE ST STE A, KINSTON, NC 28501-1580
(252) 686-5020
(252) 686-5069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-29081
NC
101YM0800X
Mental Health Counselor
Primary
A20869
NC
Other
Enumeration date
06/02/2023
Last updated
12/10/2025
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