Individual
MS. KELLY DEAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC, LCAS
Contact information
Practice address
429 BILLINGSLEY RD, MECKLENBURG SUBSTANCE ABUSE SERVICES CENTER, CHARLOTTE, NC 28211-1007
(704) 336-6669
Mailing address
5949E QUAIL HOLLOW RD, CHARLOTTE, NC 28210
(704) 336-6639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1068
NC
101YP2500X
Professional Counselor
3236
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102837
—
NC
Enumeration date
01/08/2007
Last updated
09/11/2025
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