Individual
MISS SANDRA MARIE FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC, AADC
Contact information
Practice address
1125 ROUTE 65, DELBARTON, WV 25670-7234
(980) 825-9878
Mailing address
1125 ROUTE 65, DELBARTON, WV 25670-7234
(980) 825-9878
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1165
NC
101YM0800X
Mental Health Counselor
Primary
5190
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103493
—
NC
Enumeration date
12/11/2006
Last updated
07/30/2021
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