Individual
IVANA JENAYA DULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1170 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9695
(828) 464-1172
Mailing address
500 ARCHDALE DR., CHARLOTTE, NC 28217
(704) 332-9001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20705
NC
Other
Enumeration date
10/28/2024
Last updated
01/30/2025
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