Individual
MRS. KEISHA SAMARA HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPCA
Contact information
Practice address
152 WIND CHIME CT, RALEIGH, NC 27615-6433
(984) 200-6058
Mailing address
4072 CLINARD AVE, WINSTON SALEM, NC 27127-6060
(336) 608-8884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13688
NC
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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