Individual
KELLY FAIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5720 FAYETTEVILLE RD, SUITE 211, DURHAM, NC 27713-9089
(919) 484-9931
(919) 484-0579
Mailing address
6015 FAYETTEVILLE RD, SUITE 211, DURHAM, NC 27713-6254
(919) 572-0001
(919) 572-0004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5089
NC
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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