Individual
MRS. COSTELLA MARIE ROBERTS MCKOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10 PARKER LN, SUITE 2, PINEHURST, NC 28374-7903
(910) 638-5966
(910) 692-3573
Mailing address
PO BOX 1394, PINEHURST, NC 28370-1394
(910) 295-5580
(910) 692-3573
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6650
NC
Other
Enumeration date
08/10/2007
Last updated
01/20/2012
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