Doctor Name: | MISS SANDRA MARIE FARLEY |
NPI Number: | 1104986389 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., LPC, LCAS |
License Number: | 1165 |
Business Practice Address: | 1309 S. Cannon Street Kannapolis, NC - 28083 |
Business Phone Number: | 7049323212 |
Business Fax Number: | 7049333221 |
Mailing Address: | 6201 Professional Blvd, HARRISBURG |
State: | NC |
Postal Code: | 280757441 |
Phone Number: | 7048071717 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 02/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1165 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |