Provider Demographics
NPI:1982993630
Name:KE, GINA YUNG-CH'L (MSW, LCSW, LCASA)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:YUNG-CH'L
Last Name:KE
Suffix:
Gender:F
Credentials:MSW, LCSW, LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 ASHE ST
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1706
Mailing Address - Country:US
Mailing Address - Phone:919-270-8934
Mailing Address - Fax:
Practice Address - Street 1:102 ASHE ST
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1706
Practice Address - Country:US
Practice Address - Phone:919-270-8934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0079211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical