Individual
KEVIN PATRICK WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 E 2ND AVE, GASTONIA, NC 28054-4256
(704) 854-9102
(704) 854-9913
Mailing address
9240 FOUR MILE CREEK RD, CHARLOTTE, NC 28277-9063
(704) 773-2380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-23323
NC
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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