Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 10580 | NC |
Y | 101YS0200X | School Counselor | NC |
NPI | 1235547035 |
---|---|
Provider Name | Nikeita Mcdonald |
First Address | Wallburg, NC 27373-0290 |
Second Address | High Point, NC 27265-7487 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2014 |
Last Update Date | 20/10/2021 |