Individual
FAITH V GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
284 EXECUTIVE PARK DRIVE SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Mailing address
6931 MIDWAY SCHOOL RD, THOMASVILLE, NC 27360-8408
(336) 475-2710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
630102713
MI
Other
Enumeration date
03/22/2007
Last updated
05/07/2008
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