Individual
SEATTLE KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5027 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7046
(704) 530-6463
Mailing address
5027 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7046
(704) 530-6463
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A18864
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
29447
NC
101YM0800X
Mental Health Counselor
A18864
NC
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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