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Organization
FAMILY SERVICE FOR ADULT AND CHILDREN,LLC
Active
Organization
FAMILY SERVICE FOR ADULT AND CHILDREN,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YANET FERNANDEZ BA (EXCUTIVE DIRECTOR)
(252) 991-2160
Entity
Organization
Contact information
Practice address
2841 DAISY LN N, D, WILSON, NC 27896-6948
(252) 991-2160
Mailing address
2841 DAISY LN N, D, WILSON, NC 27896-6948
(252) 991-2160
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
NULL
103TP0016X
Prescribing (Medical) Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/30/2010
Last updated
10/30/2010
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