Individual
KELLY RENEE ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHCA
Contact information
Practice address
2813 COLTSGATE RD STE 200, CHARLOTTE, NC 28211-3585
(704) 362-3123
(704) 943-7272
Mailing address
2813 COLTSGATE RD STE 200, CHARLOTTE, NC 28211-3585
(704) 362-3123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A19095
NC
Other
Enumeration date
09/20/2022
Last updated
08/08/2023
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