Individual
MEGAN SIMON KEKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6813 FAIRVIEW RD STE D, CHARLOTTE, NC 28210-3364
(980) 553-0195
Mailing address
6813 FAIRVIEW RD STE D, CHARLOTTE, NC 28210-3364
(980) 553-0195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-23272
NC
Other
Enumeration date
02/01/2017
Last updated
01/09/2024
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