Individual
MRS. KELLY COBLE DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHDL, LCAS
Contact information
Practice address
150 WILLOW CREEK DR., STANFIELD, NC 28163
(704) 888-1139
(704) 991-0350
Mailing address
150 WILLOW CREEK DR., STANFIELD, NC 28163
(704) 888-1139
(704) 991-0350
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
991
NC
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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