Individual
JANETHA GAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11940 CAROLINA PLACE PKWY STE 104, PINEVILLE, NC 28134-7471
(704) 502-9397
Mailing address
11940 CAROLINA PLACE PKWY STE 104, PINEVILLE, NC 28134-7471
(704) 502-9397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19222
NC
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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