Individual
KEISHIA CECELIA HUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMHC, LCASA
Contact information
Practice address
208 MALLOY ST STE B, GOLDSBORO, NC 27534-4478
(984) 520-6080
(984) 520-6081
Mailing address
208 MALLOY ST STE B, GOLDSBORO, NC 27534-4478
(984) 520-6080
(984) 520-6081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-28066
NC
101YM0800X
Mental Health Counselor
Primary
19133
NC
175T00000X
Peer Specialist
Primary
—
NC
Other
Enumeration date
05/28/2018
Last updated
02/11/2026
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