Individual
MRS. THERESA ANN MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
207 S WESTGATE DR STE G-J, GREENSBORO, NC 27407-1675
(336) 273-9611
(336) 273-9663
Mailing address
207 S WESTGATE DR STE G-J, GREENSBORO, NC 27407-1675
(336) 273-9611
(336) 273-9663
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-28545
NC
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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