Individual
KELLY YARBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
1521 BOWMORE PL, MC LEANSVILLE, NC 27301-9248
(336) 402-3682
Mailing address
2618 BATTLEGROUND AVE STE A, GREENSBORO, NC 27408-1925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-28900
NC
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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