Individual
DECHANILE JOHNSON BROOKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
180 PROVIDENCE RD, SUITE 4, CHAPEL HILL, NC 27514-2206
(919) 493-4412
Mailing address
4833 MOUNT OLIVE CHURCH RD, PITTSBORO, NC 27312-8252
(336) 376-1613
(336) 376-1613
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046MU
BCBS PIN
NC
05
—
6107152
—
NC
Enumeration date
06/12/2006
Last updated
07/08/2007
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