Individual
MRS. DAISY MARIE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
2229 EVER CHASE CT, WINSTON SALEM, NC 27103-6324
(804) 218-1147
Mailing address
2229 EVER CHASE CT, WINSTON SALEM, NC 27103-6324
(804) 218-1147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20477
NC
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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