Individual
CAROL G. FOUNTAIN WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1709 LEGION RD, SUITE 224, CHAPEL HILL, NC 27517-2375
(919) 928-3611
(919) 929-8006
Mailing address
1709 LEGION RD, SUITE 224, CHAPEL HILL, NC 27517-2375
(919) 928-3611
(919) 929-8006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7939
NC
106H00000X
Marriage & Family Therapist
6079A
NC
Other
Enumeration date
09/23/2009
Last updated
06/29/2010
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