Individual
MRS. FABIOLA RUEDA TWYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 W MAIN AVE, GASTONIA, NC 28052-3844
(704) 478-6093
Mailing address
1848 ARBORS DR APT B, GASTONIA, NC 28054-6572
(704) 840-4975
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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