Individual
KELSEY STAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1316 PATTON AVE STE D, ASHEVILLE, NC 28806-2652
(828) 225-3100
Mailing address
123 FOREST HILL DR, ASHEVILLE, NC 28803-2417
(515) 326-1216
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14188
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P586677
—
CO
Enumeration date
07/31/2018
Last updated
07/31/2018
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