Individual
MRS. GWENDOLYN LEVISTER MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2936 BREEZEWOOD AVE, SUITE 100, FAYETTEVILLE, NC 28303-5506
(910) 868-6092
(910) 868-8882
Mailing address
4608 COVENTRY RD, FAYETTEVILLE, NC 28304-4918
(910) 424-3741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8932
NC
Other
Enumeration date
05/06/2013
Last updated
07/07/2015
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