Individual
DR. KYLIE PHARES DOTSON-BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NCC
Contact information
Practice address
EAST FIFTH STREET 223A RAGSDALE, EAST CAROLINA UNIVERSITY/COAD DEPT, GREENVILLE, NC 27858-4353
(252) 328-5277
Mailing address
EAST FIFTH STREET 223A RAGSDALE, EAST CAROLINA UNIVERSITY/COAD DEPT, GREENVILLE, NC 27858-4353
(252) 328-5277
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4986
NC
101YS0200X
School Counselor
—
NC
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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