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Individual

JENNIFER DEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
363 CHURCH ST N, CONCORD, NC 28025-4589
(704) 262-1325
Mailing address
363 CHURCH ST N, CONCORD, NC 28025-4589
(704) 262-1325

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A11708
NC

Other

Enumeration date
08/14/2015
Last updated
08/14/2015
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