Mcdougald, Keonna

Mcdougald, Keonna is an individual health care provider with primary practice located at 1914 J N Pease Pl , Charlotte NC 28262-4504. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Mcdougald, Keonna can be contacted via phone (704) 919-3542.

Contact Information

Primary practice address
1914 J N Pease Pl Charlotte NC 28262-4504
Phone: (704) 919-3542
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1194950014
LBN Legal business name Mcdougald, Keonna
Credentials MAT
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2009
Last updated May 20th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers