Individual
GWENDOLYN RENEE HOLMAN-BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS., MED.
Contact information
Practice address
1914 J N PEASE PL, CHARLOTTE, NC 28262-4504
(980) 395-7104
Mailing address
1914 J N PEASE PL, CHARLOTTE, NC 28262-4504
(980) 395-7104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
SC
101YM0800X
Mental Health Counselor
—
SC
175T00000X
Peer Specialist
Primary
—
NC
Other
Enumeration date
11/07/2017
Last updated
11/11/2021
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