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Individual
MRS. WENDOLYN DEACON
Active
Individual
MRS. WENDOLYN DEACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5598
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1542V
BCBS
NC
01
—
2667979
CIGNA
NC
01
—
467375
MHN (TRICARE)
NC
05
—
6104067
—
NC
01
—
9367568
AETNA
NC
Enumeration date
06/12/2008
Last updated
07/21/2022
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