Individual
CHRISTINA AYERS-KLOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
10580 LIGON MILL RD # 210, WAKE FOREST, NC 27587-6090
(984) 235-6786
Mailing address
9101 COLEWAY DR, HOLLY SPRINGS, NC 27540-4463
(919) 817-4742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-26357
NC
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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