Individual
RACHEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A, LCMHC-A
Contact information
Practice address
932 OLD US HWY 70 W, BLACK MOUNTAIN, NC 28711-2547
(336) 687-5337
Mailing address
932 OLD US HWY 70 W, BLACK MOUNTAIN, NC 28711-2547
(336) 687-5337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26091
NC
101YP2500X
Professional Counselor
Primary
A15515
NC
Other
Enumeration date
08/06/2020
Last updated
10/06/2021
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