Individual
MS. ANDREA LEAH GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, LCASA
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24871
NC
101YM0800X
Mental Health Counselor
Primary
13782
NC
101YM0800X
Mental Health Counselor
A13782
NC
101YP2500X
Professional Counselor
13782
NC
Other
Enumeration date
03/18/2018
Last updated
03/23/2021
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