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Individual
GINA M MCCREA
Active
Individual
GINA M MCCREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CADCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13-09-77
OR
101YM0800X
Mental Health Counselor
Primary
C3502
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-09-77
CADCIII
OR
01
—
C3502
LPC
OR
Enumeration date
09/15/2012
Last updated
01/19/2017
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