| Carol G. Fountain Wooten, Ma, Pllc | |
|
1709 Legion Rd Suite 224 Chapel Hill NC 27517-2375 | |
| (919) 928-3611 | |
| (919) 929-8006 |
| Full Name | Carol G. Fountain Wooten, Ma, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1709 Legion Rd, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Carol G. Fountain Wooten (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9199283611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol G. Fountain Wooten, Ma, Pllc 1709 Legion Rd Suite 224 Chapel Hill NC 27517-2375 Ph: (919) 928-3611 | Carol G. Fountain Wooten, Ma, Pllc 1709 Legion Rd Suite 224 Chapel Hill NC 27517-2375 Ph: (919) 928-3611 |
| NPI Number | 1427425214 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 08/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427425214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7939 (North Carolina) | Primary |
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