Individual
MR. BOBBY FAISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
208 N GARNETT ST, SUITE F., HENDERSON, NC 27536-4673
(252) 433-0300
(252) 433-8054
Mailing address
208 N GARNETT ST, SUITE F., HENDERSON, NC 27536-4673
(252) 433-0300
(252) 433-8054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
875
NC
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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