Individual
ALLISON YOUNG BAISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103-6951
(336) 718-3550
(336) 277-6981
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-3550
(336) 277-6981
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6888
NC
101YM0800X
Mental Health Counselor
Primary
6888
NC
101YP2500X
Professional Counselor
6888
NC
Other
Enumeration date
01/09/2008
Last updated
10/26/2023
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