Individual
MRS. KATHLEEN JANE FETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
134 PROFESSIONAL PARK DR, SUITE 400, MOORESVILLE, NC 28117-5599
(704) 664-1029
Mailing address
127 W MARANTA RD, MOORESVILLE, NC 28117-6337
(201) 925-2367
(704) 442-4162
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8643
NC
Other
Enumeration date
03/26/2007
Last updated
10/27/2011
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