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Individual

ALLISHA MARIE MINOR-GAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMFT, LMFT

Contact information

Practice address
4037 E INDEPENDENCE BLVD STE 100, CHARLOTTE, NC 28205-0003
(267) 517-1954
Mailing address
4037 E INDEPENDENCE BLVD STE 100, CHARLOTTE, NC 28205-0003
(267) 571-1954

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20455
NC
106H00000X
Marriage & Family Therapist
206009
TX
106H00000X
Marriage & Family Therapist
LCM1117
MD
106H00000X
Marriage & Family Therapist
MF001712
PA

Other

Enumeration date
08/23/2018
Last updated
08/02/2025
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