Laura S. Rand, LPCA

Individual provider Active NPI Mental Health Counselor · Fairview, NC

NPI 1265718811 · NPPES record last updated Oct 27, 2011

Key facts

NPI
1265718811
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
A9070 (NC)
Practice address
126 Churchill Downs Dr
Fairview, NC 28730-9763
Phone
(828) 216-3357
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A9070NCMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A9070 NC Yes

Addresses

Primary practice location

126 Churchill Downs Dr
Fairview, NC 28730-9763

Mailing address

126 Churchill Downs Dr
Fairview, NC 28730-9763
Phone (828) 216-3357

Other providers in Fairview, NC

All providers in Fairview, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.