Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 101YP1600X | Pastoral Counselor | ||
Y | 103TC1900X | Counseling Psychologist |
NPI | 1093350506 |
---|---|
Provider Name | Dr. Faith Speaks |
First Address | Concord, NC 28025-7079 |
Second Address | Concord, NC 28025-7079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2019 |
Last Update Date | 27/01/2021 |