Individual
MR. GENA OXENDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
223 GLENOLA ST, FAYETTEVILLE, NC 28311
(910) 536-0146
Mailing address
223 GLENOLA ST, FAYETTEVILLE, NC 28311
(910) 536-0146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A11898
NC
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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