Individual
BRENT D GITCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(336) 794-6058
Mailing address
4905 HICKORY WOODS DR, GREENSBORO, NC 27410-9165
(336) 339-4834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC-31779
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-30593
NC
225C00000X
Rehabilitation Counselor
641959
NC
Other
Enumeration date
03/10/2025
Last updated
03/19/2026
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