Individual
ALISON FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4909 WATERS EDGE DR, RALEIGH, NC 27606-2849
(919) 589-2196
(919) 578-8745
Mailing address
PO BOX 128, ELK CREEK, VA 24326-0128
(919) 589-2196
(919) 578-8745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C017132
NC
1041C0700X
Clinical Social Worker
Primary
C017132
NC
Other
Enumeration date
08/22/2022
Last updated
01/23/2026
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