Marlene Pearson Kilby, MA, LCAS-A
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Clarksville, VA
NPI 1396219366 · NPPES record last updated Feb 11, 2019
Key facts
- NPI
- 1396219366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 21912 (NC)
- Practice address
- 342 Occoneechee LN Apt a
Clarksville, VA 23927-2318 - Phone
- (336) 981-6835
- NPI assigned
- Jan 14, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21912 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21912 | NC | Yes |
Addresses
Primary practice location
342 Occoneechee LN Apt a
Clarksville, VA 23927-2318
Mailing address
510 Dabney Dr Ste B
Henderson, NC 27536-3946
Phone (252) 572-2625
Other providers in Clarksville, VA
- Maritza Garcia Holzknecht
- Home Care Delivered, Inc.
- In Goode Hands LLC
- Teresa T Jones
- Cassianne Kelly
- Brittany Kalea Lacks
- Mecklenburg County Life Saving & Rescue Squad Inc
- Corinne Anne Michaud
- Elizabeth Nelson Moore
- Frankie John Moore
All providers in Clarksville, VA · Addiction (Substance Use Disorder) Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.