KENNETH CHARLES COLSTON

SHALLOTTE, NC
NPI1578803086
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC  2346)
Enumeration Date2013-02-20
Last Update Date2013-02-20
Business Address
KENNETH CHARLES COLSTON
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470-6094
Phone number: 910-754-4515
Mailing Address
KENNETH CHARLES COLSTON
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470-6094
Phone number: 910-754-4515
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