person
Mrs. Cyvonne Rush Gaines, LCAS
Addiction (Substance Use Disorder) Counselor in Wadesboro, North Carolina
NPI 1821225186

Cyvonne Rush Gaines is an Addiction (Substance Use Disorder) Counselor based in Wadesboro, NC and is specialized in Addiction (Substance Use Disorder). Cyvonne Rush Gaines practices in Wadesboro, NC and has the professional credentials of LCAS. The NPI Number for Cyvonne Rush Gaines is 1821225186 and holds a License No. 1375 (North Carolina).

The current practice location address for Cyvonne Rush Gaines is 148-C E Morgan St., Wadesboro, NC and can be reached out via phone at 704-458-0130 and via fax at 704-459-0130.

Location: 148-C E Morgan St., Wadesboro, NC, 28170
person
Provider Profile Details
NPI Number
1821225186
Provider Name
Cyvonne Rush Gaines
Credential
LCAS
Provider Entity Type
Individual
Gender
Female
Address
148-C E Morgan St., Wadesboro, NC, 28170
Phone Number
704-458-0130
Fax Number
704-459-0130
Provider Enumeration Date
06/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6112112 05 NC
institution
Provider Business Practice Location Address Details
Address
148-C E Morgan St.
City
State
Zip
28170
Phone Number
704-458-0130
Fax Number
704-459-0130
person
Provider Business Mailing Address Details
Address
148-C E Morgan St.
City
State
Zip
28170
Phone Number
704-458-0130
Fax Number
704-459-0130
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1375 (North Carolina)
Definition
Definition to come...
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