Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kelly Cleon Henson, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1962536300

Mr. Kelly Cleon Henson, LCAS is an Addiction (Substance Use Disorder) Counselor in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007

Practice location Address checks out

3826 Bland Rd
Raleigh, NC 27609-6239
Phone: (919) 740-8428
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 506 (NC)

Record details

NPI number1962536300
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS
Sole proprietorNo
NPI enumeratedMarch 16, 2007
Last updated in NPPESNovember 16, 2016

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