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General NPI Number Information
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NPI Number | 1407635782
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Entity Type | Individual
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Provider Name | CYNTHIA DARLENE KILBY-QUEEN LCAS, LCMHCA, CADC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 924 MAIN ST STE 310
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-4266
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Country | US
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Telephone | 336-818-9238
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Fax | 336-810-7780
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Provider Business Mailing Address
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Address Line | 633 CARTPATH RD
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-8250
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Country | US
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Telephone | 336-978-2717
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A19638
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-26257
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License Number State | NC
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