Individual
KIARA MARIE EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
596 E JACKSON BLVD BLDG B, ERWIN, NC 28339-9629
(910) 897-2008
Mailing address
596 E JACKSON BLVD BLDG B, ERWIN, NC 28339-9629
(910) 897-2008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-23652
NC
Other
Enumeration date
06/26/2017
Last updated
01/19/2021
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