Individual
D'ASIA MACKENZIE PHRONEBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC-A
Contact information
Practice address
616 COLONNADE DR, CHARLOTTE, NC 28205-6827
(704) 273-3942
(704) 749-2305
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A20551
NC
Other
Enumeration date
03/20/2022
Last updated
09/13/2024
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