Individual
DONNESHA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
907 HAY ST STE 201, FAYETTEVILLE, NC 28305-5352
(910) 483-5986
(910) 483-2876
Mailing address
907 HAY ST STE 201, FAYETTEVILLE, NC 28305-5352
(910) 483-5986
(910) 483-2876
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-24729
NC
1041C0700X
Clinical Social Worker
P010610
NC
1041C0700X
Clinical Social Worker
Primary
P017080
NC
Other
Enumeration date
08/22/2016
Last updated
10/24/2022
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