Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | APPLIED FOR LICENSE | NC |
N | 101YM0800X | Mental Health Counselor | NC | |
N | 101YP1600X | Pastoral Counselor | NC |
NPI | 1235210675 |
---|---|
Provider Name | Dr. James Guy Mackey |
First Address | Charlotte, NC 28212 |
Second Address | Charlotte, NC 28212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 08/07/2007 |