Rebecca Lynn Fugate, L.C.M.H.C.

Individual provider Active NPI Mental Health Counselor · Fairview, NC

NPI 1457553018 · NPPES record last updated Feb 26, 2024

Key facts

NPI
1457553018
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
4575 (NC)
Practice address
713 Garren Creek Rd
Fairview, NC 28730-7610
Phone
(828) 216-7370
NPI assigned
Jun 4, 2007
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4575 NC Yes

Addresses

Primary practice location

713 Garren Creek Rd
Fairview, NC 28730-7610

Mailing address

PO Box 1579
Black Mountain, NC 28711-1579
Phone (828) 216-7370

Other identifiers

IdentifierTypeStateIssuer
4575OtherNCLICENSE

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.