Individual provider · Type 1 NPI
Mashonda Waddell
Mental Health Counselor · Kelly, NC
NPI number
1801483102
Active
Practice location
144 Phillips Dr
Kelly, NC 28448-8688
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 14026 (NC) |
Mental Health Counselor: Definition to come...
About NPI 1801483102
Mashonda Waddell's National Provider Identifier is 1801483102, issued on Dec 21, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kelly, NC. The record was last updated on Dec 21, 2020.