Individual
RIA JAKYRA FAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 BW THOMAS DR, FORT MILL, SC 29708-7230
(980) 777-1111
Mailing address
503 AMHURST ST SW, CONCORD, NC 28025-8802
(980) 777-4111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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