Provider Demographics
NPI:1952587594
Name:MCNEAL, LORETTA STREATER (MA, LMSW, NC LPC)
Entity Type:Individual
Prefix:MRS
First Name:LORETTA
Middle Name:STREATER
Last Name:MCNEAL
Suffix:
Gender:F
Credentials:MA, LMSW, NC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 EAST MORGAN STREET
Mailing Address - Street 2:
Mailing Address - City:WADESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28170-0148
Mailing Address - Country:US
Mailing Address - Phone:704-694-2961
Mailing Address - Fax:
Practice Address - Street 1:148 E MORGAN ST
Practice Address - Street 2:
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170-2202
Practice Address - Country:US
Practice Address - Phone:704-694-2961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6749101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health