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Mrs. Keva Jay Fennell
Addiction (Substance Use Disorder) Counselor in Fayetteville, North Carolina
NPI 1053552489

Keva Jay Fennell is an Addiction (Substance Use Disorder) Counselor based in Raeford, NC and is specialized in Addiction (Substance Use Disorder). Keva Jay Fennell practices in Fayetteville, NC. The NPI Number for Keva Jay Fennell is 1053552489 and holds a License No. 7361 (North Carolina).

The current practice location address for Keva Jay Fennell is 941 S Mcpherson Church Rd, Fayetteville, NC and can be reached out via phone at 910-483-5744 and via fax at 910-483-5494.

Location: 941 S Mcpherson Church Rd, Fayetteville, NC, 28376-6842
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Provider Profile Details
NPI Number
1053552489
Provider Name
Keva Jay Fennell
Credential
Provider Entity Type
Individual
Gender
Female
Address
941 S Mcpherson Church Rd, Fayetteville, NC, 28376-6842
Phone Number
910-483-5744
Fax Number
910-483-5494
Provider Enumeration Date
03/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6104171 05 NC
institution
Provider Business Practice Location Address Details
Address
941 S Mcpherson Church Rd
City
State
Zip
28303-5369
Phone Number
910-483-5744
Fax Number
910-483-5494
person
Provider Business Mailing Address Details
Address
941 S Mcpherson Church Rd
City
State
Zip
28303-5369
Phone Number
910-483-5744
Fax Number
910-483-5494
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
7361 (North Carolina)
Definition
Definition to come...
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