Individual
MRS. ANNETTE N GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A, LCAS-A
Contact information
Practice address
650 HIGHLAND AVE STE 100, WINSTON SALEM, NC 27101-4304
(336) 607-8523
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25733-A
NC
1041C0700X
Clinical Social Worker
Primary
P014442
NC
Other
Enumeration date
08/09/2012
Last updated
05/04/2020
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