Individual
GABRIELLE NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6715 FAIRVIEW RD STE A, CHARLOTTE, NC 28210-0128
(704) 456-9877
Mailing address
3100 WILLOWBRAE RD, CHARLOTTE, NC 28226-3060
(205) 873-0922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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