Individual
FETIMA MARIE WELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-A, LCAS-A
Contact information
Practice address
310 TIMBERLINE DR, SANFORD, NC 27332
(315) 560-8888
Mailing address
310 TIMBERLINE DR, SANFORD, NC 27332-8567
(315) 560-8888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20097
NC
101YM0800X
Mental Health Counselor
10757
NC
101YP2500X
Professional Counselor
Primary
10757
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144593898
—
NC
Enumeration date
02/10/2012
Last updated
09/05/2018
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