Organization
FAMILY SERVICE FOR ADULT AND CHILDREN,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YANET FERNANDEZ BA (EXCUTIVE DIRECTOR)
(252) 991-2160
Entity
Organization
Contact information
Practice address
2841 DAISY LN N, D, WILSON, NC 27896-6948
(252) 991-2160
Mailing address
2841 DAISY LN N, D, WILSON, NC 27896-6948
(252) 991-2160
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/30/2010
Last updated
10/30/2010
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