Individual
MR. JAMES DERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
10580 LIGON MILL RD STE 210, WAKE FOREST, NC 27587-6090
(919) 263-9592
Mailing address
1380 HATCHER RD, SELMA, NC 27576-7741
(920) 627-9099
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21604
NC
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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