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Individual

MS. DEBRA KESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS

Contact information

Practice address
285 CAMP EASTER ROAD, LAKEVIEW, NC 28350
(910) 245-4339
(910) 245-4799
Mailing address
PO BOX 190, LAKEVIEW, NC 28350-0190
(910) 245-4339
(910) 245-4799

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1027
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6111883
NC
Enumeration date
03/20/2007
Last updated
07/09/2007
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