Individual
KOURTLAND STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 MURPHY DR, LEXINGTON, NC 27295-2100
(336) 224-1919
Mailing address
3104 LAWNDALE DR APT H, GREENSBORO, NC 27408-3452
(336) 681-0225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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