| Doctor Name: | KELLYE HUTTON SLAGGERT |
| NPI Number: | 1043555725 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 9122 |
| Business Practice Address: | 9835 Northcross Center Ct Ste B Huntersville, NC - 280787347 |
| Business Phone Number: | 7046086812 |
| Business Fax Number: | |
| Mailing Address: | 169 Kings Cross Ln, MOORESVILLE |
| State: | NC |
| Postal Code: | 281175906 |
| Phone Number: | 7046086812 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2012 |
| NPI Last Update Date: | 12/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 9122 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |