Individual provider · Type 1 NPI

Kayla Booth, LCAS-A

Addiction (Substance Use Disorder) Counselor · Raleigh, NC

NPI number 1174193635 Active

Practice location

4009 Barrett Dr Ste 100
Raleigh, NC 27609-6616

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X26968 (NC)

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

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About NPI 1174193635

Kayla Booth, LCAS-A's National Provider Identifier is 1174193635, issued on Jun 28, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Raleigh, NC. The record was last updated on May 21, 2026.