Individual
DIANE FAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPCA, NCC
Contact information
Practice address
8390 SIX FORKS RD, SUITE 201, RALEIGH, NC 27615-3060
(919) 247-4703
(919) 782-8731
Mailing address
3912 GRANDBRIDGE DR., APEX, NC 27539-2753
(919) 247-4703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A9844
NC
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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