| Kenneth Charles Colston, | |
|
120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | |
| (910) 754-4515 | |
| Not Available |
| Full Name | Kenneth Charles Colston |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 120 Coastal Horizons Dr, Shallotte, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578803086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2346 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Charles Colston, 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 Ph: (910) 754-4515 | Kenneth Charles Colston, 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 Ph: (910) 754-4515 |
Brooke Simpson, LCMHCA Counselor Medicare: Medicare Enrolled Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 | |
Dr. Linda Sue Rieth, PHD, LPCA, AFC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 | |
Mrs. Evelyn Margaret Thomas, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 4437 Main St, Shallotte, NC 28470 Phone: 910-754-4449 | |
Sarah Spell, LCSWA, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 | |
Heather Shannon Stoume Ellis, MSW, P-LCSW, LCAS, Counselor Medicare: Accepting Medicare Assignments Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 Fax: 910-251-5324 | |
Kelleyanne Helene Lonergan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4437 Main St, Shallotte, NC 28470 Phone: 910-617-0222 | |
Mrs. Carly R Booth, MSW LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4437 Main St, Shallotte, NC 28470 Phone: 910-754-4449 |