Individual
MRS. LISETTE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2443 LYNN RD STE 112, RALEIGH, NC 27612-6759
(919) 968-0330
Mailing address
6 ATLANTIC AVE, BENSON, NC 27504-7852
(919) 968-0330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29126
NC
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/03/2023
Last updated
07/08/2023
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