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Genera Nicole Gilliam, MA,LPC
Professional Counselor in Winston Salem, North Carolina
NPI 1669719761

Genera Nicole Gilliam is a Professional Counselor based in Winston Salem, NC and is specialized in Professional. Genera Nicole Gilliam practices in Winston Salem, NC and has the professional credentials of MA,LPC. The NPI Number for Genera Nicole Gilliam is 1669719761 and holds a License No. 9629 (North Carolina).

The current practice location address for Genera Nicole Gilliam is 155 Stillmere Ct, Winston Salem, NC and can be reached out via phone at 919-539-7144.

Location: 155 Stillmere Ct, Winston Salem, NC, 27101-2311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669719761
Provider Name
Genera Nicole Gilliam
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
155 Stillmere Ct, Winston Salem, NC, 27101-2311
Phone Number
919-539-7144
Fax Number
Provider Enumeration Date
01/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
155 Stillmere Ct
City
Winston Salem
State
North Carolina
Zip
27101-2311
Phone Number
919-539-7144
Fax Number
person
Provider Business Mailing Address Details
Address
155 Stillmere Ct
City
Winston Salem
State
North Carolina
Zip
27101-2311
Phone Number
919-539-7144
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
9629 (North Carolina)
Definition
Definition to come...
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