Individual
GINA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1546 HIGHWAY 27 W STE 107, ALBEMARLE, NC 28001-6413
(704) 248-7329
(704) 248-8340
Mailing address
20167 TUCKER RD, OAKBORO, NC 28129-9468
(828) 712-4269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20472
NC
Other
Enumeration date
09/14/2024
Last updated
10/31/2024
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