Doctor Name: | DAVID FACER |
NPI Number: | 1114241023 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PLCSW |
License Number: | P005368 |
Business Practice Address: | 300 Veazey Dr Butner, NC - 275091668 |
Business Phone Number: | 9197642171 |
Business Fax Number: | 9197642274 |
Mailing Address: | 5126 Copper Ridge Dr, #104 DURHAM |
State: | NC |
Postal Code: | 277075566 |
Phone Number: | 9197642171 |
Fax Number: | 9197642274 |
NPI Enumeration Date: | 03/22/2010 |
NPI Last Update Date: | 03/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P005368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |