Individual
MR. DWAYNE LAMAR DELANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA-QMHP-C/A
Contact information
Practice address
19204 PERKINSON RD, JETERSVILLE, VA 23083-2000
(804) 513-4289
Mailing address
19204 PERKINSON RD, JETERSVILLE, VA 23083-2000
(804) 513-4289
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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