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General NPI Number Information
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NPI Number | 1699614339
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Entity Type | Individual
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Provider Name | MCKENNA SARAC LCSW-A
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Gender | Female
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 300 COPPERFIELD BLVD NE STE 105
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City | CONCORD
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State | NC
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Zip | 28025-2460
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Country | US
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Telephone | 704-782-3131
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Fax | 704-782-3131
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Provider Business Mailing Address
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Address Line | 9500 GROVE CREST LN APT 522
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City | CHARLOTTE
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State | NC
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Zip | 28262-4532
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | P021499
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License Number State | NC
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