Individual
JANELL FABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
163 STRATFORD CT STE 170, WINSTON SALEM, NC 27103-1833
(862) 571-6246
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A14370
NC
101YP2500X
Professional Counselor
Primary
A14370
NC
Other
Enumeration date
11/07/2018
Last updated
10/10/2019
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