Healthcare Provider Details

I. General information

NPI: 1982149803
Provider Name (Legal Business Name): JENNY LEE FINLAN LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2017
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 S KENLEIGH DR
FAYETTEVILLE NC
28304-2228
US

IV. Provider business mailing address

215 HOLLY OAK CIR
BUNNLEVEL NC
28323-9095
US

V. Phone/Fax

Practice location:
  • Phone: 910-806-7185
  • Fax:
Mailing address:
  • Phone: 910-806-7185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12661
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: