Individual
MS. EVELYN B MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCAS, LPC, CSI
Contact information
Practice address
102 N YATES STREET, GASTONIA, NC 28052
(704) 865-4308
(704) 865-5525
Mailing address
102 N YATES STREET, GASTONIA, NC 28052
(704) 865-4308
(704) 865-5525
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
101YM0800X
Mental Health Counselor
8853
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112132
—
NC
Enumeration date
04/16/2010
Last updated
11/22/2011
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