Individual
GREGORY BRENTON QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMFT, LCAS
Contact information
Practice address
825 3RD AVE NW STE 2, HICKORY, NC 28601-4806
(704) 534-7110
Mailing address
825 3RD AVE NW, HICKORY, NC 28601-4806
(704) 534-7110
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1107
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105107
—
NC
Enumeration date
11/09/2006
Last updated
12/13/2022
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