Individual
MS. REGINA WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
910 PERSON ST, SUITE 3, FAYETTEVILLE, NC 28301-5925
(910) 850-4845
Mailing address
910 PERSON ST, SUITE 3, FAYETTEVILLE, NC 28301-5925
(910) 850-4845
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8225
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6115108
—
NC
Enumeration date
05/22/2012
Last updated
01/19/2017
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