Individual
KIM JOY GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 YONKERS RD, RALEIGH, NC 27604-2258
(919) 896-7536
Mailing address
3600 GRIFFICE MILL RD, RALEIGH, NC 27610-8638
(919) 800-9141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24176
NC
1041C0700X
Clinical Social Worker
P011548
NC
Other
Enumeration date
10/03/2017
Last updated
03/10/2020
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