Individual provider · Type 1 NPI
Suzanne Autrey Kelly, LPC, LCAS, CEAP
Professional Counselor · Yadkinville, NC
NPI number
1366420192
Active
Practice location
110 W Elm St
Yadkinville, NC 27055-1758
Fax (336) 677-1359
Mailing address
110 W Elm St # 1758
Yadkinville, NC 27055-8203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 60 (NC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1223 (NC) |
| Professional Counselor Primary | 101YP2500X | 1070 (NC) |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Yadkinville
- Charles B. GrossProfessional Counselor Yadkinville, NC NPI 1023607207
- Susan L. Sawyers, LPCProfessional Counselor Yadkinville, NC NPI 1063633741
- Wanda J. Burger, LPCProfessional Counselor Yadkinville, NC NPI 1114975430
- Christopher Stewart Sapp, LCMHCA, LCAS, CSIProfessional Counselor Yadkinville, NC NPI 1235559717
- Toria Davenport Jenks, LCMHCAProfessional Counselor Yadkinville, NC NPI 1255940581
- Leslie Reno Smith, LCMHCAProfessional Counselor Yadkinville, NC NPI 1427829977
- Mackenzie Lauren Boyles, LCMHCAProfessional Counselor Yadkinville, NC NPI 1679422802
- Christopher Shane Bailey, LPCProfessional Counselor Yadkinville, NC NPI 1679781249
About NPI 1366420192
Suzanne Autrey Kelly, LPC, LCAS, CEAP's National Provider Identifier is 1366420192, issued on Jan 3, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Yadkinville, NC. The record was last updated on Aug 14, 2025.