Doctor Name: | MRS. TELINA FAYE MATHEWS |
NPI Number: | 1841473212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 6824 |
Business Practice Address: | 2150 Nc Highway 56 Creedmoor, NC - 275228697 |
Business Phone Number: | 9196240563 |
Business Fax Number: | |
Mailing Address: | 2150 Nc Highway 56, CREEDMOOR |
State: | NC |
Postal Code: | 275228697 |
Phone Number: | 9196240563 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2007 |
NPI Last Update Date: | 12/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 6824 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |