# FUQUAY FAMILY COUNSELING, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275782831
- **Authorized official:** TIFFANY WAGNER LMFT (OWNER)
- **Authorized official phone:** (919) 412-7321

## Contact information

- **Practice address:** 602 E ACADEMY ST, SUITE 205, FUQUAY VARINA, NC 27526-2382
- **Practice address phone:** (919) 346-5357
- **Mailing address:** 602 E ACADEMY ST, SUITE 205, FUQUAY VARINA, NC 27526-2382
- **Mailing address phone:** (919) 346-5357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 820 | NC | Yes |

## Other

- **Enumeration date:** 09/18/2008
- **Last updated:** 09/18/2008