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Individual

KEITH EMORY DELANCEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATR, LPC

Contact information

Practice address
44 BONNIE LN, SYLVA, NC 28779-8511
(828) 631-3973
(828) 631-9280
Mailing address
PO BOX 2187, SYLVA, NC 28779-2187
(828) 631-3973
(828) 631-9280

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4691
NC
101YP2500X
Professional Counselor
Primary
4691
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
138NE
BCBS OF NORTH CAROLINA
NC
05
6102341
NC
Enumeration date
04/11/2006
Last updated
11/12/2018
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