Organization
FISHER PARK COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL N. KETNER M.ED, LPC (OWNER)
(336) 451-0822
Entity
Organization
Contact information
Practice address
208 E BESSEMER AVE, GREENSBORO, NC 27401-6320
(336) 542-0276
(336) 272-1182
Mailing address
208 E BESSEMER AVE, GREENSBORO, NC 27401-6320
(336) 542-0276
(336) 272-1182
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2124
NC
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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