Individual
KELLSIE RAE SIEBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4239 CAMERON RD, FAYETTEVILLE, NC 28306-7106
(919) 295-0364
(844) 321-8479
Mailing address
4239 CAMERON RD, FAYETTEVILLE, NC 28306-7106
(919) 295-0364
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00961
NC
Other
Enumeration date
06/14/2018
Last updated
02/26/2025
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