Individual
KEITH EMORY DELANCEY
Active
Individual
KEITH EMORY DELANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATR, LPC
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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