KELLY CLEON HENSON

RALEIGH, NC
NPI1962536300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  506)
Enumeration Date2007-03-16
Last Update Date2016-11-16
Business Address
Mr. KELLY CLEON HENSON lcas
3826 BLAND RD
RALEIGH, NC 27609-6239
Phone number: 919-740-8428
Mailing Address
Mr. KELLY CLEON HENSON lcas
281 KENTUCKY DR
CLAYTON, NC 27527-6272
Phone number: 919-740-8428
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