| Ms Kimberly Robin Outlaw, LCAS-A | |
|
3367 Ponderosa Dr, La Grange, NC 28551-8067 | |
| (252) 566-9125 | |
| Not Available |
| Full Name | Ms Kimberly Robin Outlaw |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3367 Ponderosa Dr, La Grange, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821462292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20276 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kimberly Robin Outlaw, LCAS-A 3367 Ponderosa Dr, 3367 Ponderosa Drive, La Grange, NC 28551-8067 Ph: (252) 566-9125 | Ms Kimberly Robin Outlaw, LCAS-A 3367 Ponderosa Dr, La Grange, NC 28551-8067 Ph: (252) 566-9125 |
Elizabeth Mae Smith, PLCSW QP Counselor Medicare: Not Enrolled in Medicare Practice Location: 6257 Roberts Dr, La Grange, NC 28551 Phone: 919-709-6340 Fax: 252-566-9440 | |
Kadeedrah Pridgen, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6111 Bulltown Rd, La Grange, NC 28551 Phone: 404-915-9998 |