Individual
LATINA SHARISSE EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCA
Contact information
Practice address
911 HAY ST, FAYETTEVILLE, NC 28305-5313
(910) 703-7781
Mailing address
911 HAY ST, FAYETTEVILLE, NC 28305-5313
(910) 703-7781
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12056
NC
Other
Enumeration date
12/28/2015
Last updated
02/11/2016
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