Individual
MS. CAROLINE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC-A, LCAS-A, NCC
Contact information
Practice address
3427 MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 864-8739
Mailing address
8921 RANSDELL RD, RALEIGH, NC 27603-8909
(919) 285-5420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
A15625
NC
Other
Enumeration date
01/20/2020
Last updated
03/31/2020
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