Individual
MARTHA RALEIGH GILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
323 W 2ND ST, WASHINGTON, NC 27889-4801
(252) 975-3111
(252) 975-3035
Mailing address
3206 OLD OAK WALK, GREENVILLE, NC 27858-8441
(252) 721-0311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1386
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
205190
NC
101YM0800X
Mental Health Counselor
8169
NC
Other
Enumeration date
09/02/2009
Last updated
09/11/2024
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