Individual
MR. KEITH DAVID NUNN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1400 WILLOW LN, NORTH WILKESBORO, NC 28659-3551
(336) 667-5151
(336) 838-3133
Mailing address
284 EXECUTIVE PARK DR, SUITE 1000, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5221
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1413X
BLUECROSS BLUESHIELD OF N
NC
05
—
6103158
—
NC
Enumeration date
05/06/2006
Last updated
06/07/2013
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