Doctor Name: | NORMA MOODY FAULK |
NPI Number: | 1043459357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC, NCC |
License Number: | |
Business Practice Address: | 237 W Pennsylvania Ave Southern Pines, NC - 283875430 |
Business Phone Number: | 9107251015 |
Business Fax Number: | |
Mailing Address: | 625 Fairway Dr, SOUTHERN PINES |
State: | NC |
Postal Code: | 283872201 |
Phone Number: | 9107251086 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2009 |
NPI Last Update Date: | 05/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |