Individual
MISS BIANCA FAITH MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCAS-A, LCSW-A
Contact information
Practice address
111 LAMON ST STE 100, FAYETTEVILLE, NC 28301-4917
(910) 483-0324
Mailing address
6319 RAEFORD RD APT 76, FAYETTEVILLE, NC 28304-2838
(910) 224-1094
(910) 483-2246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
26639
NC
1041C0700X
Clinical Social Worker
Primary
P015307
NC
Other
Enumeration date
10/23/2020
Last updated
03/01/2023
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