MICHELLE KELLI LASTER

ROANOKE RAPIDS, NC
NPI1215546841
Former NameMICHELLE KELLI RIDLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-07-29
Last Update Date2020-07-29
Business Address
MICHELLE KELLI LASTER
608 JACKSON ST STE 108
ROANOKE RAPIDS, NC 27870-2600
Phone number: 252-541-4175
Mailing Address
MICHELLE KELLI LASTER
608 JACKSON ST STE 108
ROANOKE RAPIDS, NC 27870-2600
Phone number: 252-541-4175