Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 40 | NC |
N | 101YP2500X | Professional Counselor | 2405 | NC |
NPI | 1104869619 |
---|---|
Provider Name | Mr. Gary William Mcfarland |
First Address | Charlotte, NC 28203-4024 |
Second Address | Charlotte, NC 28203-4024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
56554 | BCBSNC PROVIDER NUMBER (01) | NC |