person
Kenneth Charles Colston
Addiction (Substance Use Disorder) Counselor in Shallotte, North Carolina
NPI 1578803086

Kenneth Charles Colston is an Addiction (Substance Use Disorder) Counselor based in Shallotte, NC and is specialized in Addiction (Substance Use Disorder). Kenneth Charles Colston practices in Shallotte, NC. The NPI Number for Kenneth Charles Colston is 1578803086 and holds a License No. 2346 (North Carolina).

The current practice location address for Kenneth Charles Colston is 120 Coastal Horizons Dr, Shallotte, NC and can be reached out via phone at 910-754-4515.

Location: 120 Coastal Horizons Dr, Shallotte, NC, 28470-6094
person
Provider Profile Details
NPI Number
1578803086
Provider Name
Kenneth Charles Colston
Credential
Provider Entity Type
Individual
Gender
Male
Address
120 Coastal Horizons Dr, Shallotte, NC, 28470-6094
Phone Number
910-754-4515
Fax Number
Provider Enumeration Date
02/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 Coastal Horizons Dr
City
State
Zip
28470-6094
Phone Number
910-754-4515
Fax Number
person
Provider Business Mailing Address Details
Address
120 Coastal Horizons Dr
City
State
Zip
28470-6094
Phone Number
910-754-4515
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2346 (North Carolina)
Definition
Definition to come...
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