Provider Information for 1326201120
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KAMAY H GABODA LCMHCS LCAS, CCS
Sex: Female
NPI: 1326201120
Last Updated: 2024-09-25
Certification Date: 2024-09-23
Certification Date: 2024-09-23
Details
| Name | Value | ||||||||||||||||
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| NPI | 1326201120 | ||||||||||||||||
| Enumeration Date | 2008-07-02 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | PO BOX 4 FOREST CITY, NC 28043-0004 United States Phone: 828-716-0962 | Fax:828-716-0962 | ||||||||||||||||
| Primary Practice Address | 107 CHERRY MOUNTAIN ST SUITE B FOREST CITY, NC 28043 United States Phone: 828-716-0962 | Fax:828-716-0962 | ||||||||||||||||
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