Individual
MS. FEDORIA LATORYA BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1411 SUPERNOVA ST APT 307, WAKE FOREST, NC 27587-3280
(336) 708-9342
Mailing address
1411 SUPERNOVA ST APT 307, WAKE FOREST, NC 27587-3280
(336) 708-9342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12431
NC
Other
Enumeration date
05/13/2016
Last updated
05/24/2025
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