Individual
JENNIFER FADEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
5203 SHARON RD, CHARLOTTE, NC 28210-4721
(704) 554-9900
(704) 554-9956
Mailing address
2503 ROSWELL AVE UNIT 504, CHARLOTTE, NC 28209-1685
(704) 609-8205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16911
NC
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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