Individual provider · Type 1 NPI
Keva Jay Fennell, LCMHC, LCAS
Professional Counselor · Fort Bragg, NC
NPI number
1053552489
Active
Practice location
2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-0001
Fax (910) 907-6069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor Primary | 101YP2500X | 7361 (NC) |
Professional Counselor: Definition to come...
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About NPI 1053552489
Keva Jay Fennell, LCMHC, LCAS's National Provider Identifier is 1053552489, issued on Mar 14, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Bragg, NC. The record was last updated on Jul 31, 2025.