Individual
DELVONDRIA DAIYUNTE DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAS, CCS, LPC-A
Contact information
Practice address
916 BITTING HALL CIR, RURAL HALL, NC 27045-9883
(336) 782-0436
Mailing address
916 BITTING HALL CIR, RURAL HALL, NC 27045-9883
(336) 782-0436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21927
NC
101YP2500X
Professional Counselor
10730
SC
Other
Enumeration date
08/10/2015
Last updated
02/04/2026
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