Individual
GINA RENAE GAZAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
2208 MIDLAND RD, PINEHURST, NC 28374-8208
(910) 634-0022
(910) 401-1774
Mailing address
15 ROBINS ROOST, WHISPERING PINES, NC 28327-6113
(361) 894-5722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8111
NC
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
8111
NC
Other
Enumeration date
04/17/2011
Last updated
11/20/2017
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