Individual
AMANDA HOLSHOUSER FAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1476 S MAIN ST, MOUNT PLEASANT, NC 28124-7698
(704) 724-6830
Mailing address
2640 DAUGHERTY RD, CHINA GROVE, NC 28023-8670
(704) 724-6830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7180
NC
101YM0800X
Mental Health Counselor
7180
NC
Other
Enumeration date
06/04/2007
Last updated
01/30/2023
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