| NPI | 1346950144 |
|---|---|
| Professional Name | THERESA ANN MACKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-28545) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |