Individual
MAURICE FAIRLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 BENSON RD, GARNER, NC 27529-3947
(984) 233-1471
(984) 272-4865
Mailing address
5929 BRAMBLETON AVE, RALEIGH, NC 27610-5597
(919) 280-6550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12545
NC
Other
Enumeration date
10/04/2016
Last updated
12/16/2021
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