Provider Demographics
NPI:1942594650
Name:KENYEAR, DEBRA JOYCE (LMFT)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JOYCE
Last Name:KENYEAR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3108 ELIZABETH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2508
Mailing Address - Country:US
Mailing Address - Phone:252-672-8804
Mailing Address - Fax:252-672-8807
Practice Address - Street 1:2920 TRENT RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2030
Practice Address - Country:US
Practice Address - Phone:252-672-8804
Practice Address - Fax:252-672-8807
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6070A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist