Provider Demographics
NPI:1679954267
Name:MCNEILL, DEBBORA KAY (LPC-A)
Entity Type:Individual
Prefix:MS
First Name:DEBBORA
Middle Name:KAY
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 S HORNER BLVD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-5632
Mailing Address - Country:US
Mailing Address - Phone:910-890-0317
Mailing Address - Fax:
Practice Address - Street 1:1518 S HORNER BLVD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5632
Practice Address - Country:US
Practice Address - Phone:910-890-0317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11504101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional