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Individual

MS. AISHA DYNE GUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC-R

Contact information

Practice address
3580 NC HIGHWAY 14, REIDSVILLE, NC 27320-8746
(336) 522-5095
Mailing address
3017 RENAISSANCE PKWY, JAMESTOWN, NC 27282-8753
(336) 987-4467

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/02/2022
Last updated
09/02/2022
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