Individual
DEANNA BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8522 SIX FORKS RD, RALEIGH, NC 27615-3097
(919) 900-7438
Mailing address
8522 SIX FORKS RD, RALEIGH, NC 27615-3097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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