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Individual

MRS. ANITA BENTLEY FAULKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1301 CAROLINA ST, STE. 114, GREENSBORO, NC 27401-1032
(336) 272-1200
(336) 272-1182
Mailing address
1823 W FRIENDLY AVE, GREENSBORO, NC 27403-1240
(336) 491-8292

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7208
NC

Other

Enumeration date
12/08/2008
Last updated
12/08/2008
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