Individual
MS. DEBRA ANN MIDYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 LYNNDALE CT, GREENVILLE, NC 27858-5462
(252) 752-8602
(252) 752-8103
Mailing address
3412 COLONY DR, NEW BERN, NC 28562-4803
(252) 633-5911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16784
NC
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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