Individual provider · Type 1 NPI

Penny Gayle Liles, LPC-A, CRC

Professional Counselor · Winston Salem, NC

NPI number 1740668748 Active

Practice location

4140 Cherry St
Winston Salem, NC 27105-2536

Call (336) 448-2737 Map

Fax (336) 306-9629

Mailing address

4140 N. Cherry Street
Winston Salem, NC 27105

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XA11493 (NC)

Professional Counselor: Definition to come...

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About NPI 1740668748

Penny Gayle Liles, LPC-A, CRC's National Provider Identifier is 1740668748, issued on May 11, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Winston Salem, NC. The record was last updated on May 11, 2015.