Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | LCAS 2818 | NC |
Y | 101YM0800X | Mental Health Counselor | LPC 8935 | NC |
N | 101YM0800X | Mental Health Counselor | NCC 285629 | NC |
N | 101YP1600X | Pastoral Counselor | ADL CHAPEL 1925 | NC |
NPI | 1295151108 |
---|---|
Provider Name | Dona Menz |
First Address | Hendersonville, NC 28739-8151 |
Second Address | Asheville, NC 28801-1908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2014 |
Last Update Date | 17/03/2014 |