Individual
CASEY SCOTT KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
5010 HENDERSONVILLE RD, FLETCHER, NC 28732-6606
(704) 661-9540
Mailing address
5010 HENDERSONVILLE RD, FLETCHER, NC 28732-6606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A14051
NC
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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