Individual
DR. FARREN A STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LCMHC, LPC
Contact information
Practice address
521 N LIBERTY ST, WINSTON SALEM, NC 27101-2949
(912) 223-2480
Mailing address
521 N LIBERTY ST, WINSTON SALEM, NC 27101-2949
(912) 223-2480
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
15443
NC
101YP2500X
Professional Counselor
Primary
LPC009419
GA
Other
Enumeration date
07/07/2021
Last updated
07/29/2021
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