Individual
CHASTITY KINSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
60 NORTH HIGHWAY 125, ROANOKE RAPIDS, NC 27870
(252) 537-6619
Mailing address
1872 ARBORS DR APT A, GASTONIA, NC 28054-6592
(865) 776-3416
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A9536
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0329
PERSONAL NUMBER
NC
Enumeration date
04/23/2014
Last updated
04/23/2014
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