Individual
MS. DEEPA BHATT-MACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
3725 NATIONAL DR STE 114, NORTH HAMPTON BUILDING, RALEIGH, NC 27612-4879
(919) 784-0508
(919) 784-0250
Mailing address
615 EDENBERRY DR, DURHAM, NC 27713-6535
(919) 765-0062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4883
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102688
—
NC
Enumeration date
10/20/2006
Last updated
07/08/2007
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