Individual
CANDICE PETTY FEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCA
Contact information
Practice address
200 S POST RD STE 3, SHELBY, NC 28152-6270
(704) 476-4027
Mailing address
350 PEE DEE AVE STE 101, ALBEMARLE, NC 28001-4945
(704) 986-1500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A8308
NC
Other
Enumeration date
02/10/2011
Last updated
07/21/2022
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