Individual
MS. FUNGISAI BEAULLAH CHANAKIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6026 SIX FORKS RD, RALEIGH, NC 27609
(919) 848-0132
Mailing address
6026 SIX FORKS RD, RALEIGH, NC 27609-3899
(919) 848-0132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A10970
NC
Other
Enumeration date
12/12/2014
Last updated
09/07/2018
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