Individual
KIESHA LAQUANTIA COUSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8480 HONEYCUTT RD STE 200, RALEIGH, NC 27615-2261
(919) 885-4042
Mailing address
4441 SIX FORKS RD STE 106, RALEIGH, NC 27609-5729
(919) 885-4042
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A20929
NC
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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