Provider Demographics
NPI:1457605743
Name:BOYD, CESSEL JEWON (MA, LCMHC, LPC)
Entity type:Individual
Prefix:MS
First Name:CESSEL
Middle Name:JEWON
Last Name:BOYD
Suffix:
Gender:
Credentials:MA, LCMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 MACON EMBRO RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:NC
Mailing Address - Zip Code:27551-9276
Mailing Address - Country:US
Mailing Address - Phone:919-698-9972
Mailing Address - Fax:888-320-9178
Practice Address - Street 1:136 S MAIN ST STE F
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:NC
Practice Address - Zip Code:27589-1967
Practice Address - Country:US
Practice Address - Phone:888-320-7119
Practice Address - Fax:888-320-9178
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-08
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9324101YM0800X
NC3117101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)