person
Mrs. Keisha Moore Speller, MA
Professional Counselor in Washington, North Carolina
NPI 1083955272

Keisha Moore Speller is a Professional Counselor based in Williamston, NC and is specialized in Professional. Keisha Moore Speller practices in Washington, NC and has the professional credentials of MA. The NPI Number for Keisha Moore Speller is 1083955272 and holds a License No. 3291 (North Carolina).

The current practice location address for Keisha Moore Speller is 216 Stewart Pkwy, Washington, NC and can be reached out via phone at 252-946-0585 and via fax at 252-946-0580.

Location: 216 Stewart Pkwy, Washington, NC, 27892-1903
person
Provider Profile Details
NPI Number
1083955272
Provider Name
Keisha Moore Speller
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
216 Stewart Pkwy, Washington, NC, 27892-1903
Phone Number
252-946-0585
Fax Number
252-946-0580
Provider Enumeration Date
03/13/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10072 01 NC LPC
10072 05 NC
institution
Provider Business Practice Location Address Details
Address
216 Stewart Pkwy
City
State
Zip
27889
Phone Number
252-946-0585
Fax Number
252-946-0580
person
Provider Business Mailing Address Details
Address
216 Stewart Pkwy
City
State
Zip
27889
Phone Number
252-946-0585
Fax Number
252-946-0580
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10072 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
10072 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3291 (North Carolina)
Definition
Definition to come...
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