person
Ms. Kimberly Robin Outlaw, LCAS-A
Addiction (Substance Use Disorder) Counselor in La Grange, North Carolina
NPI 1821462292

Kimberly Robin Outlaw is an Addiction (Substance Use Disorder) Counselor based in La Grange, NC and is specialized in Addiction (Substance Use Disorder). Kimberly Robin Outlaw practices in La Grange, NC and has the professional credentials of LCAS-A. The NPI Number for Kimberly Robin Outlaw is 1821462292 and holds a License No. 20276 (North Carolina).

The current practice location address for Kimberly Robin Outlaw is 3367 Ponderosa Dr, La Grange, NC and can be reached out via phone at 252-566-9125.

Location: 3367 Ponderosa Dr, La Grange, NC, 28551-8067
person
Provider Profile Details
NPI Number
1821462292
Provider Name
Kimberly Robin Outlaw
Credential
LCAS-A
Provider Entity Type
Individual
Gender
Female
Address
3367 Ponderosa Dr, La Grange, NC, 28551-8067
Phone Number
252-566-9125
Fax Number
Provider Enumeration Date
11/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3367 Ponderosa Dr
City
State
Zip
28551-8067
Phone Number
252-566-9125
Fax Number
person
Provider Business Mailing Address Details
Address
3367 Ponderosa Dr
City
State
Zip
28551-8067
Phone Number
252-566-9125
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
20276 (North Carolina)
Definition
Definition to come...
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