Basic Information
| Provider Information | |||||||||
| NPI: | 1831521251 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KILMER | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | SCOTT | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MS, LPCA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 138 WESTVIEW ST | ||||||||
| Address2: | |||||||||
| City: | RUTHERFORDTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281393039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285442777 | ||||||||
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| Practice Location | |||||||||
| Address1: | 356 CHARLOTTE RD | ||||||||
| Address2: | |||||||||
| City: | RUTHERFORDTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281392916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282877945 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2013 | ||||||||
| LastUpdateDate: | 04/01/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | A10282 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.