Organization
ANGEL WORKS, PEDIATRIC AND ADULT COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEISHA C ANGEL NCC, LPC (DIRECTOR)
(336) 908-8564
Entity
Organization
Contact information
Practice address
233 W MOUNTAIN ST, SUITE 205, KERNERSVILLE, NC 27284-2529
(336) 908-8564
Mailing address
233 W MOUNTAIN ST, KERNERSVILLE, NC 27284-2529
(336) 908-8564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8154
NC
Other
Enumeration date
06/06/2014
Last updated
08/08/2016
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