Individual
CHASITY DE BODISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LCMHC, LMFT
Contact information
Practice address
2422 REYNOLDA RD STE C, WINSTON SALEM, NC 27106-4606
(321) 527-6755
Mailing address
2422 REYNOLDA RD STE C, WINSTON SALEM, NC 27106-4606
(321) 527-6755
(321) 527-6755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15927
FL
101YM0800X
Mental Health Counselor
Primary
19586
NC
106H00000X
Marriage & Family Therapist
3598
FL
Other
Enumeration date
04/06/2014
Last updated
05/11/2026
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