Organization
FOOTPRINTS COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BRIAN ALEXANDER LMFT (OWNER)
(336) 893-8727
Entity
Organization
Contact information
Practice address
3410 HEALY DR, SUITE 200-A, WINSTON SALEM, NC 27103-1403
(336) 893-8727
(336) 893-8726
Mailing address
3410 HEALY DR, SUITE 200-A, WINSTON SALEM, NC 27103-1403
(336) 893-8727
(336) 893-8726
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1184
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106255
—
NC
Enumeration date
01/23/2014
Last updated
01/23/2014
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