Individual
KEVA JAY FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, LCAS
Contact information
Practice address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YP2500X
Professional Counselor
Primary
7361
NC
Other
Enumeration date
03/14/2009
Last updated
07/31/2025
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