Individual
MRS. DORETHA YVETTE SAKIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-5957
Mailing address
1933 ASHRIDGE DR, FAYETTEVILLE, NC 28304-2872
(804) 550-8922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26208
NC
1041C0700X
Clinical Social Worker
P011845
NC
1041C0700X
Clinical Social Worker
Primary
P016624
NC
Other
Enumeration date
07/24/2017
Last updated
09/21/2022
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