Individual
MRS. SHARA GILREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPCA
Contact information
Practice address
1210 DAVIE AVE, STATESVILLE, NC 28677-3512
(704) 437-6712
Mailing address
159 DANBURY LN, STATESVILLE, NC 28625-8901
(704) 437-6712
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A15412
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A15412
BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
NC
05
—
A15412
—
NC
Enumeration date
01/02/2020
Last updated
01/02/2020
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