Individual provider · Type 1 NPI
Tatisha Devonne Fauntleroy, LCMHC
Mental Health Counselor · Durham, NC
NPI number
1780939355
Active
Practice location
324 Callandale Ln
Durham, NC 27703-9803
Fax (919) 957-7375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 8744 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1780939355
Tatisha Devonne Fauntleroy, LCMHC's National Provider Identifier is 1780939355, issued on Jul 19, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durham, NC. The record was last updated on Dec 2, 2020.