Individual
ALYSE B DESELMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-2240
(919) 734-6676
(919) 238-7919
Mailing address
1706 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-2240
(919) 734-6676
(919) 238-7919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
26603
NC
1041C0700X
Clinical Social Worker
Primary
P104851
NC
Other
Enumeration date
06/12/2020
Last updated
07/24/2020
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