Provider Information for 1578991246
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TRINA MCDONALD LPC-A, LCAS, CSAC
Sex: Female
NPI: 1578991246
Last Updated: 2018-10-23
Certification Date:
Certification Date:
Details
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NPI | 1578991246 | ||||||||
Enumeration Date | 2013-10-16 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1020 RANKIN ST APT 412 WILMINGTON, NC 28401-3744 United States Phone: 910-833-8624 | Fax:910-833-8625 | ||||||||
Primary Practice Address | 1020 RANKIN ST APT 412 WILMINGTON, NC 28401 United States Phone: 910-833-8624 | Fax:910-833-8625 | ||||||||
Secondary Practice Address(es) | 12 S 16TH ST | ||||||||
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