Individual
MARLA FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
501 BILTMORE AVE, SUITE G276.10, ASHEVILLE, NC 28801-4601
(828) 213-4502
(828) 681-1577
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 213-4502
(828) 681-1577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
10660
NC
101YP2500X
Professional Counselor
4950
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC 1319
—
SC
Enumeration date
01/19/2007
Last updated
08/28/2015
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