Individual
KERRY SHAWN REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
271A CALLAHAN KOON RD, SPINDALE, NC 28160-2207
(828) 287-6110
(828) 287-6092
Mailing address
53 S FRENCH BROAD AVE FL 3, ASHEVILLE, NC 28801-3272
(828) 225-3100
(828) 225-3604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111944
—
NC
01
—
8301118Q
ENHANCED MEDICAID
NC
Enumeration date
03/28/2007
Last updated
06/18/2008
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