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Individual

MS. GILLDA WALKER MENDENHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
200 SPRING GARDEN ST, SUITE 1010, GREENSBORO, NC 27401-2737
(336) 740-5284
Mailing address
200 SPRING GARDEN ST, SUITE 1010, GREENSBORO, NC 27401-2737
(336) 740-5284

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
NC
101YM0800X
Mental Health Counselor
NC
101YP1600X
Pastoral Counselor
NC
101YP2500X
Professional Counselor
Primary
457787642
NC
101YS0200X
School Counselor
4577345
FL
101YS0200X
School Counselor
77457723
NC
171M00000X
Case Manager/Care Coordinator
NC
171W00000X
Contractor
NC
174H00000X
Health Educator
NC

Other

Enumeration date
01/24/2012
Last updated
01/24/2012
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