# FISHER PARK COUNSELING

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

## Provider details

- **NPI number:** 1659659431
- **Authorized official:** SHERYL N. KETNER M.ED, LPC (OWNER)
- **Authorized official phone:** (336) 451-0822

## Contact information

- **Practice address:** 208 E BESSEMER AVE, GREENSBORO, NC 27401-6320
- **Practice address phone:** (336) 542-0276
- **Practice address fax:** (336) 272-1182
- **Mailing address:** 208 E BESSEMER AVE, GREENSBORO, NC 27401-6320
- **Mailing address phone:** (336) 542-0276
- **Mailing address fax:** (336) 272-1182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 2124 | NC | Yes |

## Other

- **Enumeration date:** 07/28/2011
- **Last updated:** 07/28/2011