Individual
DR. YASMIN EVETTE GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCAS,LPC, CRC,
Contact information
Practice address
725 HIGHLAND AVE, WINSTON SALEM, NC 27101-4180
(336) 397-7500
(336) 397-7501
Mailing address
1860 EMBARK DR, KERNERSVILLE, NC 27284-7590
(336) 785-3113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
001111176
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1847
NC
101YP2500X
Professional Counselor
11467
NC
Other
Enumeration date
06/21/2012
Last updated
07/18/2019
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