SearchNorth Carolina101YM0800X

Keith Hines, MA, QP LCASA

NPI 1326421058 · on the registry since 2015 · sole proprietor

Practice

Address
5969 Laguna Dr
Fayetteville, NC 28314
Phone
(910) 527-7388

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina