Individual
HEATHER FANGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
447 S SHARON AMITY RD, CHARLOTTE, NC 28211-2836
(980) 581-3061
Mailing address
6104 POLK MOUNTAIN DR, MARSHVILLE, NC 28103-7698
(704) 254-1912
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A9845
NC
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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