Individual
DANIELLE N WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 DOCTORS DR STE A, JACKSONVILLE, NC 28546-6308
(910) 333-0814
Mailing address
200 DOCTORS DR STE A, JACKSONVILLE, NC 28546-6308
(910) 333-0814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
07/30/2019
Last updated
07/30/2019
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