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Organization

LYDIA KICKLITER, LPC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYDIA KICKLITER LMHC (SOLE MEMBER)
(727) 643-5594
Entity
Organization

Contact information

Practice address
29 RAVENSCROFT DR STE 102, ASHEVILLE, NC 28801-3655
(727) 643-5594
(855) 355-4064
Mailing address
29 RAVENSCROFT DR STE 102, ASHEVILLE, NC 28801-3655
(727) 643-5594
(855) 355-4064

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12763
NC

Other

Enumeration date
06/23/2015
Last updated
10/12/2017
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