Provider Demographics
NPI:1922488287
Name:FARRER, MONICA (LCAS, LPC-A)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:
Last Name:FARRER
Suffix:
Gender:F
Credentials:LCAS, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4482 GARDEN CLUB ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1169
Mailing Address - Country:US
Mailing Address - Phone:336-340-9999
Mailing Address - Fax:
Practice Address - Street 1:157 BLUE BELL RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-5301
Practice Address - Country:US
Practice Address - Phone:336-370-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21079101YA0400X
NC11121101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)