Individual
KYLE SLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 HARBOR WALK, NEW BERN, NC 28562-8902
(704) 488-5998
Mailing address
25 HARBOR WALK, NEW BERN, NC 28562-8902
(704) 488-5998
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9078
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
2966
NC
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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