MEDICARE: ARIELLE NICOLE FEGGINS M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1578911004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIELLE NICOLE FEGGINS M.S.

Provider Business Mailing Address
First Line	:	100 CHELLE MILL LN
Second Line	:
City	:	HAZEL GREEN
State	:	AL
Zip	:	35750-5802
Country	:	US
Telephone Number	:	773-454-0007
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CHELLE MILL LN
Second Line	:
City	:	HAZEL GREEN
State	:	AL
Zip	:	35750-5802
Country	:	US
Telephone Number	:	773-454-0007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2016
Last Update Date	:	05/25/2016

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