Individual
MRS. GEVONNA ARDELL GRAVES-WORNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
5166 FARM HOUSE TRL, WINSTON SALEM, NC 27103-5394
(336) 829-4277
(336) 893-6324
Mailing address
5166 FARM HOUSE TRL, WINSTON SALEM, NC 27103-5394
(336) 829-4277
(336) 893-6324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22009
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-22009
NC
Other
Enumeration date
10/14/2011
Last updated
02/21/2026
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