Individual
MS. BARBARA FAULK WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
230 W PENNSYLVANIA AVE STE A, SOUTHERN PINES, NC 28387-5431
(910) 783-9590
(910) 295-9175
Mailing address
14 PINEHURST MNR APT A, PINEHURST, NC 28374-8212
(910) 783-9590
(910) 295-9175
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A10633
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A10633
NCBLPC
NC
05
—
PENDING
—
NC
Enumeration date
05/08/2014
Last updated
05/05/2020
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