Individual provider · Type 1 NPI
Martha Raleigh Gillen, MS
Addiction (Substance Use Disorder) Counselor · Washington, NC
NPI number
1073746491
Active
Practice location
323 W 2nd St
Washington, NC 27889-4801
Fax (252) 975-3035
Mailing address
3206 Old Oak Walk
Greenville, NC 27858-8441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 205190 (NC) |
| Mental Health Counselor | 101YM0800X | 8169 (NC) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1386 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1073746491
Martha Raleigh Gillen, MS's National Provider Identifier is 1073746491, issued on Sep 2, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Washington, NC. The record was last updated on Sep 11, 2024.