Individual
DOREEN VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 CUTLEAF DR, SUMTER, SC 29150-1747
(704) 288-6207
Mailing address
PO BOX 153, LINCOLNTON, NC 28093-0153
(704) 288-6207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11879
NC
101YP2500X
Professional Counselor
A11879
NC
Other
Enumeration date
11/09/2015
Last updated
04/13/2023
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