Individual
GWEN SOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
5401 SIX FORKS RD, RALEIGH, NC 27609-4462
(919) 886-4052
(919) 886-4052
Mailing address
5401 SIX FORKS RD, RALEIGH, NC 27609-4462
(919) 886-4052
(919) 886-4052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19679
NC
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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