Individual
MS. ELEASE RUBY GAITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCAS
Contact information
Practice address
8915 LEGACY PARK DR, APT. C, CHARLOTTE, NC 28269-9618
(704) 641-5277
Mailing address
8915 LEGACY PARK DR, APT. C, CHARLOTTE, NC 28269-9618
(704) 641-5277
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20140
NC
101YP2500X
Professional Counselor
Primary
10648
NC
Other
Enumeration date
05/01/2014
Last updated
01/04/2017
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