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Kelly Marie Edens
Mental Health Counselor in Davidson, North Carolina
NPI 1518661792

Kelly Marie Edens is a Mental Health Counselor based in Davidson, NC and is specialized in Mental Health. Kelly Marie Edens practices in Davidson, NC. The NPI Number for Kelly Marie Edens is 1518661792 and holds a License No. A15021 (North Carolina).

The current practice location address for Kelly Marie Edens is 709 Northeast Dr Ste 22, Davidson, NC and can be reached out via phone at 704-912-4095.

Location: 709 Northeast Dr Ste 22, Davidson, NC, 28036-7425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518661792
Provider Name
Kelly Marie Edens
Credential
Provider Entity Type
Individual
Gender
Female
Address
709 Northeast Dr Ste 22, Davidson, NC, 28036-7425
Phone Number
704-912-4095
Fax Number
Provider Enumeration Date
03/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
709 Northeast Dr Ste 22
City
Davidson
State
North Carolina
Zip
28036-7425
Phone Number
704-912-4095
Fax Number
person
Provider Business Mailing Address Details
Address
709 Northeast Dr Ste 22
City
Davidson
State
North Carolina
Zip
28036-7425
Phone Number
704-912-4095
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
A15021 (North Carolina)
Definition
Definition to come...
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