MEDICARE: MRS. NATALIE CHRISTINA THORPE FEWELL MA, LPC, NCC

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	101YP2500X	Professional Counselor	6953	NC

General Provider Information

NPI Number	:	1912170432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATALIE CHRISTINA THORPE FEWELL MA, LPC, NCC

Provider Business Mailing Address
First Line	:	318 LIONSHEAD RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-1353
Country	:	US
Telephone Number	:	919-812-7363
Fax Number	:	910-778-1619

Provider Business Practice Location Address
First Line	:	5135 MORGANTON RD
Second Line	:	STE 201
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-1525
Country	:	US
Telephone Number	:	919-812-7363
Fax Number	:	910-778-1619

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

Provider Enumeration Date	:	04/04/2008
Last Update Date	:	08/16/2013

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