Individual
ANYELLE JOHANNA DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
118 NEW STATESIDE DR, CHAPEL HILL, NC 27516-1165
(919) 942-1844
Mailing address
1808 CHAPEL HILL RD APT B12, DURHAM, NC 27707-1140
(919) 525-1220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A13069
NC
101YM0800X
Mental Health Counselor
A13069
NC
101YP2500X
Professional Counselor
Primary
A13069
NC
Other
Enumeration date
07/04/2017
Last updated
11/10/2017
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