Individual
JORDAN GRACE FARABOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
3333 COMMONWEALTH AVE, CHARLOTTE, NC 28205-6200
(704) 550-4538
Mailing address
2901 N DAVIDSON ST UNIT 127, CHARLOTTE, NC 28205-1088
(336) 906-9606
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20052A
NC
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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