person
Penny Gayle Liles, LPC-A,CRC
Professional Counselor in Winston Salem, North Carolina
NPI 1740668748

Penny Gayle Liles is a Professional Counselor based in Winston Salem, NC and is specialized in Professional. Penny Gayle Liles practices in Winston Salem, NC and has the professional credentials of LPC-A,CRC. The NPI Number for Penny Gayle Liles is 1740668748 and holds a License No. A11493 (North Carolina).

The current practice location address for Penny Gayle Liles is 4140 Cherry St, Winston Salem, NC and can be reached out via phone at 336-448-2737 and via fax at 336-306-9629.

Location: 4140 Cherry St, Winston Salem, NC, 27105
person
Provider Profile Details
NPI Number
1740668748
Provider Name
Penny Gayle Liles
Credential
LPC-A,CRC
Provider Entity Type
Individual
Gender
Female
Address
4140 Cherry St, Winston Salem, NC, 27105
Phone Number
336-448-2737
Fax Number
336-306-9629
Provider Enumeration Date
05/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4140 Cherry St
City
State
Zip
27105-2536
Phone Number
336-448-2737
Fax Number
336-306-9629
person
Provider Business Mailing Address Details
Address
4140 Cherry St
City
State
Zip
27105-2536
Phone Number
336-448-2737
Fax Number
336-306-9629
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
A11493 (North Carolina)
Definition
Definition to come...
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