Individual
BRIANNA CELINE DEDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N WALNUT ST, LUMBERTON, NC 28358-4832
(910) 739-3064
Mailing address
800 N WALNUT ST, LUMBERTON, NC 28358-4832
(910) 977-5020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17839
NC
Other
Enumeration date
12/03/2021
Last updated
11/02/2022
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