Individual
D AMES R LAWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED, LPC, LMFT
Contact information
Practice address
2910 BRIARCLIFFE RD, WINSTON SALEM, NC 27106-3176
(336) 724-0046
Mailing address
2910 BRIARCLIFF RD, WINSTON SALEM, NC 27106-3077
(336) 724-0046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
498
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20881
BLUE CROSS BLUE SHIELD
NC
Enumeration date
04/17/2007
Last updated
08/01/2014
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