Individual
KIMBERLY SUE GILREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
200 NORTHVIEW PLZ, NORTH WILKESBORO, NC 28659-3173
(336) 818-0607
(336) 838-0156
Mailing address
200 NORTHVIEW PLZ, NORTH WILKESBORO, NC 28659-3173
(336) 818-0607
(336) 838-0156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADA-16655
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31-1589568
—
NC
Enumeration date
05/12/2021
Last updated
05/12/2021
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