Individual
MR. KELLY LAMAR DEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3617 BETTERTON LN, CHARLOTTE, NC 28269-0148
(336) 202-8173
Mailing address
3617 BETTERTON LN, CHARLOTTE, NC 28269-0148
(336) 202-8173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4176
NC
Other
Enumeration date
08/17/2006
Last updated
05/18/2014
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