Organization
FOUNDATIONS FAMILY THERAPY OF NORTH CAROLINA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE KATHERINE CRISWELL MS, LMFT (OWNER/LICENSED MARRIAGE AND FAMILY)
(919) 285-4802
Entity
Organization
Contact information
Practice address
206 RALEIGH ST, FUQUAY VARINA, NC 27526-2263
(919) 285-4802
Mailing address
PO BOX 1927, FUQUAY VARINA, NC 27526-2927
(919) 285-4802
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1451
NC
Other
Enumeration date
09/24/2012
Last updated
04/12/2016
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