Provider Demographics
NPI:1871371377
Name:FJELD, APRIL LYNN
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNN
Last Name:FJELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1758 BRITTANY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-4300
Mailing Address - Country:US
Mailing Address - Phone:336-542-7545
Mailing Address - Fax:
Practice Address - Street 1:3000 BETHESDA PL STE 501
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3327
Practice Address - Country:US
Practice Address - Phone:336-530-3600
Practice Address - Fax:336-346-8444
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional