Individual
GRETEL STEPHANIE MAYA FARFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC ASSOCIATE
Contact information
Practice address
7215 LEBANON RD STE C, MINT HILL, NC 28227-9027
(980) 403-9161
Mailing address
1714 MISSION OAKS ST, KANNAPOLIS, NC 28083-7822
(704) 298-9104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A21261
NC
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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