Individual provider · Type 1 NPI
Cassondra Danielle Faircloth, MA, LCMHCA
Mental Health Counselor · Reidsville, NC
NPI number
1790568129
Active
Practice location
227 W Morehead St Ste 2
Reidsville, NC 27320-3872
Mailing address
2095 Piney Mountain Rd Apt A
Walnut Cove, NC 27052-7803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A19129 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1790568129
Cassondra Danielle Faircloth, MA, LCMHCA's National Provider Identifier is 1790568129, issued on Aug 17, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Reidsville, NC. The record was last updated on Aug 21, 2023.