Individual
KIMBERLY ANITA NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LCAS
Contact information
Practice address
1110 NAVAHO DR STE 125, RALEIGH, NC 27609-7352
(919) 431-9874
(919) 431-9875
Mailing address
101 BROAD LEAF CIR, RALEIGH, NC 27613-3280
(919) 789-9747
(919) 786-9747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1817
NC
101YM0800X
Mental Health Counselor
1817
NC
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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