Individual provider · Type 1 NPI

Mary Coburn Dagenhart, MA, LCMHC-A

Mental Health Counselor · Winston Salem, NC

NPI number 1821726324 Active

Practice location

8025 N Point Blvd
Winston Salem, NC 27106-3262

Mailing address

1839 Brantley St
Winston Salem, NC 27103-3709

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA17870 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1821726324

Mary Coburn Dagenhart, MA, LCMHC-A's National Provider Identifier is 1821726324, issued on Aug 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston Salem, NC. The record was last updated on Aug 11, 2022.