Individual provider · Type 1 NPI

Keisha Moore Speller, MA

Professional Counselor · Washington, NC

NPI number 1083955272 Active

Practice location

216 Stewart Pkwy
Washington, NC 27889

Fax (252) 946-0580

Mailing address

111 Cherry St
Williamston, NC 27892-1903

Other practice locations

  • 223 Washington St, Williamston, NC 27892-2437 · (252) 799-3000

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X3291 (NC)
Mental Health Counselor 101YM0800X10072 (NC)
Professional Counselor Primary 101YP2500X10072 (NC)

Professional Counselor: Definition to come...

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About NPI 1083955272

Keisha Moore Speller, MA's National Provider Identifier is 1083955272, issued on Mar 13, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Washington, NC. The record was last updated on Jun 28, 2018.