Individual
ERIN L KISHPAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
536 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625-4391
(704) 872-0234
(704) 818-1114
Mailing address
PO BOX 1545, STATESVILLE, NC 28687-1545
(704) 872-0234
(704) 818-1114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23591
NC
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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