Provider Demographics
NPI:1649708405
Name:ALMOND, MARY MACKENZIE (MA, LCMHC, CGCS)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:MACKENZIE
Last Name:ALMOND
Suffix:
Gender:F
Credentials:MA, LCMHC, CGCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 HIGH HOUSE RD ST 200
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513
Mailing Address - Country:US
Mailing Address - Phone:704-322-5705
Mailing Address - Fax:919-650-2928
Practice Address - Street 1:206 HIGH HOUSE RD ST 200
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513
Practice Address - Country:US
Practice Address - Phone:919-635-8347
Practice Address - Fax:919-650-2928
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-24
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13009101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13009OtherNORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS