JENNIFER DIANNE CONRAD
NPI 1447007570
Counselor - Mental Health in Fuquay Varina, NC
Active since May 06, 2024
About Jennifer Dianne Conrad NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER DIANNE CONRAD (NPI 1447007570) is an individual mental health provider in Fuquay Varina, North Carolina, licensed in North Carolina (A18124) and active in the NPI registry since May 2024.
NPPES Registry Identity
NPI1447007570
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER DIANNE CONRAD
Location Address7621 PURFOY RD STE 105BFuquay Varina, NC 27526-6985
Mailing Address407 N Sumner StSelma, NC 27576-2530
Phone(833) 749-4584
Sole ProprietorYes
Enumeration DateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1447007570 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A18124
7621 PURFOY RD STE 105B, Fuquay Varina, NC 27526
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447007570, enumerated as an "individual" on May 06, 2024.
The provider is located at 7621 PURFOY RD STE 105B FUQUAY VARINA, NC 27526 and the phone number is (833) 749-4584.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
