Individual
GLADYS JUANITA DARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
3929 GRANDOVER DR, RALEIGH, NC 27610-6137
(919) 703-5458
Mailing address
3929 GRANDOVER DR, RALEIGH, NC 27610-6137
(919) 703-5458
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15909
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25461
NC
Other
Enumeration date
09/22/2021
Last updated
04/11/2023
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