Individual
MR. DERRANCE WAYNE HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAED. NCC LPC
Contact information
Practice address
209 EVANS ST, GREENVILLE, NC 27858-1121
(252) 799-6339
Mailing address
3462 WESTGATE DR, GREENVILLE, NC 27834-8208
(252) 329-8240
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4012
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1315M
BLUE CROSS BLUE SHIELD
NC
05
—
6102060
—
NC
Enumeration date
01/04/2006
Last updated
07/08/2007
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