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Individual

MRS. JENNIFER GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, NCC, LPC

Contact information

Practice address
220 EAST FIRST AVENUE EXTENSION, SUITE 10, LEXINGTON, NC 27292
(336) 242-2450
(336) 242-2499
Mailing address
220 EAST FIRST AVENUE EXTENSION, SUITE 10, LEXINGTON, NC 27292
(336) 242-2450
(336) 242-2499

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
6884
NC

Other

Enumeration date
06/06/2007
Last updated
12/30/2008
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