Individual
KESHIA SHEREE GAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
110 PREMIERE PLZ, WHITEVILLE, NC 28472-2522
(910) 343-0145
Mailing address
110 PREMIERE PLZ, WHITEVILLE, NC 28472-2522
(910) 343-0145
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24671
NC
Other
Enumeration date
03/28/2019
Last updated
11/14/2019
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