Individual provider · Type 1 NPI

Kelly Cleon Henson, LCAS

Addiction (Substance Use Disorder) Counselor · Raleigh, NC

NPI number 1962536300 Active

Practice location

3826 Bland Rd
Raleigh, NC 27609-6239

Mailing address

281 Kentucky Dr
Clayton, NC 27527-6272

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X506 (NC)

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

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About NPI 1962536300

Kelly Cleon Henson, LCAS's National Provider Identifier is 1962536300, issued on Mar 16, 2007. 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 Nov 16, 2016.