Individual
MICHAEL EDWARD MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LMFT, LCAS
Contact information
Practice address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7664
(336) 728-4355
Mailing address
4710 WESTON BROOKE TRL, KERNERSVILLE, NC 27284-7300
(336) 624-8487
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
847
NC
101YM0800X
Mental Health Counselor
825
NC
101YM0800X
Mental Health Counselor
C002983
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002691
—
NC
Enumeration date
03/14/2007
Last updated
12/20/2012
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