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Kimberly Kleisch, LCAS
Addiction (Substance Use Disorder) Counselor in Greensboro, North Carolina
NPI 1518503168

Kimberly Kleisch is an Addiction (Substance Use Disorder) Counselor based in Greensboro, NC and is specialized in Addiction (Substance Use Disorder). Kimberly Kleisch practices in Greensboro, NC and has the professional credentials of LCAS. The NPI Number for Kimberly Kleisch is 1518503168 and holds a License No. 24189 (North Carolina).

The current practice location address for Kimberly Kleisch is 810 Warren St, Greensboro, NC and can be reached out via phone at 336-255-7131 and via fax at 336-217-8847.

Location: 810 Warren St, Greensboro, NC, 27403-2340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518503168
Provider Name
Kimberly Kleisch
Credential
LCAS
Provider Entity Type
Individual
Gender
Female
Address
810 Warren St, Greensboro, NC, 27403-2340
Phone Number
336-255-7131
Fax Number
336-217-8847
Provider Enumeration Date
11/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
24189 01 NC NORTH CAROLINA
institution
Provider Business Practice Location Address Details
Address
810 Warren St
City
Greensboro
State
North Carolina
Zip
27403-2340
Phone Number
336-255-7131
Fax Number
336-217-8847
person
Provider Business Mailing Address Details
Address
810 Warren St
City
Greensboro
State
North Carolina
Zip
27403-2340
Phone Number
336-255-7131
Fax Number
336-217-8847
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
24189 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
24189 (North Carolina)
Definition
Definition to come...
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