Individual
MS. KATHY ANN ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LCAS
Contact information
Practice address
283 GLEN RD STE B, GARNER, NC 27529-6240
(919) 779-3006
(919) 329-5367
Mailing address
283 GLEN RD STE B, GARNER, NC 27529-6240
(919) 779-3006
(919) 329-5367
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3757
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14174
BLUE CROSS BLUE SHIELD
NC
Enumeration date
06/26/2006
Last updated
01/02/2024
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