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Individual

MS. CARLA GENEVIEVE MACKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS, LCSW

Contact information

Practice address
7200 KAREN CT, RALEIGH, NC 27615-7609
(919) 889-6130
Mailing address
5013 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7045
(910) 796-6868
(910) 796-6869

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NC
1041C0700X
Clinical Social Worker
Primary
C008199
NC

Other

Enumeration date
09/09/2011
Last updated
05/20/2024
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