Individual
KELLY BARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3937 WESTERN BLVD, RALEIGH, NC 27606-1936
(919) 821-0791
(919) 861-8961
Mailing address
PO BOX 33393, RALEIGH, NC 27636-3393
(919) 821-0790
(919) 861-8961
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5267
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5267
LPC STATE LICENSE
NC
05
—
6103304
—
NC
Enumeration date
03/29/2007
Last updated
07/20/2009
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