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Individual

MRS. ALESIA PERKINS GILMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LCMHC, LPC

Contact information

Practice address
23 SUNNYBROOK RD, RALEIGH, NC 27610-1855
(919) 235-6510
(919) 231-0314
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12277
NC
101YM0800X
Mental Health Counselor
7218
SC
101YP2500X
Professional Counselor
12277
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063868412
NC
Enumeration date
05/04/2016
Last updated
05/13/2021
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