Individual
MS. CAROL KENNERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
708 S CHESTNUT ST, GASTONIA, NC 28054-4548
(704) 865-3525
Mailing address
PO BOX 4003, GASTONIA, NC 28054-0041
(980) 430-9256
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11838
NC
Other
Enumeration date
12/03/2015
Last updated
03/25/2019
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