Individual
MRS. DEEPA MARY PANICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC ASSOCIATE
Contact information
Practice address
4351 MAIN ST STE 215, HARRISBURG, NC 28075-7429
(704) 456-7078
(980) 216-8080
Mailing address
8306 BOURGESS CT, INDIAN LAND, SC 29707-8634
(704) 241-2748
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A19354
NC
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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