Individual
GINA LATRELLE MENCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
200 DOCTORS DR STE M, JACKSONVILLE, NC 28546-6308
(910) 335-8344
(910) 968-0018
Mailing address
516 MANTEO LN, JACKSONVILLE, NC 28546-5002
(910) 461-6968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10285
NC
Other
Enumeration date
08/30/2013
Last updated
12/20/2019
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