Organization
FAMILY OUTREACH AND COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDWINA ANNETTE DAVIES (COUNSELOR)
(705) 509-9917
Entity
Organization
Contact information
Practice address
200 W SUGAR CREEK RD, CHARLOTTE, NC 28213-6650
(704) 509-9917
(704) 509-9945
Mailing address
200 W SUGAR CREEK RD, CHARLOTTE, NC 28213-6650
(704) 509-9917
(704) 509-9945
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
0005
NC
251300000X
Local Education Agency (LEA)
00026
NC
251300000X
Local Education Agency (LEA)
050034753
CA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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