Individual provider · Type 1 NPI
Kelli Marie Egnaczak, LCMHCS, LCAS
Mental Health Counselor · Durham, NC
NPI number
1144193087
Active
Practice location
Psychiatric Services And Consultation, 20 West Colony Place #260
Durham, NC 27705
Fax (919) 748-4564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 144 (NC) |
| Mental Health Counselor Primary | 101YM0800X | 5155S (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1144193087
Kelli Marie Egnaczak, LCMHCS, LCAS's National Provider Identifier is 1144193087, issued on Sep 26, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durham, NC. The record was last updated on Sep 26, 2025.