Individual
SHONTA L GANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
3580 NC HIGHWAY 14, REIDSVILLE, NC 27320-8746
(336) 522-5095
Mailing address
5751 FOX CHASE DR, WINSTON SALEM, NC 27105-3085
(336) 862-3768
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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