Individual
DR. ANDREA F FACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
5108 N CROATAN HWY, SUITE 311, KITTY HAWK, NC 27949-3988
(252) 255-1847
(252) 480-1800
Mailing address
PO BOX 2286, KITTY HAWK, NC 27949-2286
(252) 255-1847
(252) 480-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS 1057
NC
101YM0800X
Mental Health Counselor
Primary
LPC 5189
NC
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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