Kiley Costner Thiel LPC

NPI 1104850593 - Counselor - 101YP2500X

NPI Details
NPI 1104850593
Gender Female
Enumeration Date 07/10/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1800 SOUTH BLVD
CHARLOTTE NC, 28203-4730, US
Phone (704) 756-3623
Fax
Business Location
424 ATHERTON ST
CHARLOTTE NC, 28203-5607, US
Phone (704) 756-3623
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State North Carolina
License Number 5150
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According to our database, Mrs. Kiley Costner Thiel LPC NPI is 1104850593, taxonomy code is 101YP2500X and license number is 5150, license state is located at North Carolina. Kiley Costner Thiel LPC physically located at 1800 South Blvd, Charlotte NC, 28203-4730. NPI Number Kiley Costner Thiel LPC has the Individual type.

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1104850593 NPI number is provided on an as is basis without warranty of any kind. 1104850593 is maintained by the National Plan & Provider Enumeration System. The contents of Kiley Costner Thiel LPC are for informational purposes only.