Individual
ASIA NATASHIA FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
925 BRADLEY ST NE, CONCORD, NC 28025-0911
(704) 360-3637
(704) 200-9829
Mailing address
925 BRADLEY ST NE, CONCORD, NC 28025-0911
(704) 360-3637
(704) 200-9829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10559
NC
101YP2500X
Professional Counselor
10559
NC
Other
Enumeration date
09/08/2014
Last updated
01/05/2024
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