Individual
MRS. GAIL SUSAN WILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4815 DEER CROSS TRL, CHARLOTTE, NC 28269-0328
(704) 763-2993
Mailing address
4815 DEER CROSS TRL, CHARLOTTE, NC 28269-0328
(704) 763-2993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2306
NC
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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