person
Mr. Kelly Cleon Henson, LCAS
Addiction (Substance Use Disorder) Counselor in Raleigh, North Carolina
NPI 1962536300

Kelly Cleon Henson is an Addiction (Substance Use Disorder) Counselor based in Clayton, NC and is specialized in Addiction (Substance Use Disorder). Kelly Cleon Henson practices in Raleigh, NC and has the professional credentials of LCAS. The NPI Number for Kelly Cleon Henson is 1962536300 and holds a License No. 506 (North Carolina).

The current practice location address for Kelly Cleon Henson is 3826 Bland Rd, Raleigh, NC and can be reached out via phone at 919-740-8428.

Location: 3826 Bland Rd, Raleigh, NC, 27527-6272
person
Provider Profile Details
NPI Number
1962536300
Provider Name
Kelly Cleon Henson
Credential
LCAS
Provider Entity Type
Individual
Gender
Male
Address
3826 Bland Rd, Raleigh, NC, 27527-6272
Phone Number
919-740-8428
Fax Number
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6111836 05 NC
institution
Provider Business Practice Location Address Details
Address
3826 Bland Rd
City
State
Zip
27609-6239
Phone Number
919-740-8428
Fax Number
person
Provider Business Mailing Address Details
Address
3826 Bland Rd
City
State
Zip
27609-6239
Phone Number
919-740-8428
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
506 (North Carolina)
Definition
Definition to come...
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