Individual
GABRIELLE QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
1611B OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 483-5883
Mailing address
1611B OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 483-5884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17854
NC
Other
Enumeration date
07/22/2022
Last updated
07/29/2022
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