Individual
DR. DEANGELA JOI NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1450 RABON FARMS LN, COLUMBIA, SC 29223-5875
(386) 916-9733
Mailing address
1450 RABON FARMS LN, COLUMBIA, SC 29223-5875
(386) 916-9733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-4506
CA
101YP2500X
Professional Counselor
Primary
003093LPC
GA
Other
Enumeration date
12/13/2010
Last updated
07/24/2014
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