Individual
K'NETHA MESHUN FAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
517 DEBRA CIR SW, CONCORD, NC 28025-8992
(980) 331-4031
Mailing address
8500 AMETHYST LN NW APT 11210, CHARLOTTE, NC 28262-5074
(980) 331-4031
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
NC
175T00000X
Peer Specialist
Primary
—
NC
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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