Individual provider · Type 1 NPI

Mary-Jacqueline Delores Kersey, LCSWA

Addiction (Substance Use Disorder) Counselor · Gastonia, NC

NPI number 1174020333 Active

Practice location

549 Cox Rd
Gastonia, NC 28054-0628

Mailing address

284 Executive Park Dr Ste 100
Concord, NC 28025-1833

Other practice locations

  • 350 Holly Hill Ln Ste B, Burlington, NC 27215-5691 · (919) 307-8165
  • 110 W Walker Ave, Asheboro, NC 27203 · (336) 633-7000

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25600-A (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174020333

Mary-Jacqueline Delores Kersey, LCSWA's National Provider Identifier is 1174020333, issued on Apr 12, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gastonia, NC. The record was last updated on Dec 11, 2020.