Individual
JACIE MADISON GAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
6849 FAIRVIEW RD STE 702, CHARLOTTE, NC 28210-3393
(980) 308-4500
Mailing address
6849 FAIRVIEW RD STE 702, CHARLOTTE, NC 28210-3393
(980) 308-4500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20391
NC
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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