Provider Demographics
NPI:1407316979
Name:MEISNER, GRETCHEN RUTH (LPC)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:RUTH
Last Name:MEISNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3312 GREEN RIVER COVE RD
Mailing Address - Street 2:
Mailing Address - City:SALUDA
Mailing Address - State:NC
Mailing Address - Zip Code:28773-9518
Mailing Address - Country:US
Mailing Address - Phone:828-817-8457
Mailing Address - Fax:
Practice Address - Street 1:3312 GREEN RIVER COVE RD
Practice Address - Street 2:
Practice Address - City:SALUDA
Practice Address - State:NC
Practice Address - Zip Code:28773-9518
Practice Address - Country:US
Practice Address - Phone:828-817-8457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11564101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional