Individual
AILEEN PATRICE CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 W 25TH ST, WINSTON SALEM, NC 27105-5014
(336) 705-5304
(336) 705-5304
Mailing address
421 W 25TH ST, WINSTON SALEM, NC 27105-5014
(336) 705-5304
(336) 705-5304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A22720
NC
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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