Individual
DANA ELIZABETH MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2902 GRETMAR DR, DURHAM, NC 27705-5492
(919) 604-3396
Mailing address
2902 GRETMAR DR, DURHAM, NC 27705-5492
(919) 604-3396
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3872
NC
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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