Individual
COURTNEY DEAKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC-A
Contact information
Practice address
713 S MARSHALL ST, WINSTON SALEM, NC 27101-5808
(336) 722-7266
Mailing address
713 S MARSHALL ST, WINSTON SALEM, NC 27101-5808
(336) 469-1800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17014
NC
Other
Enumeration date
10/04/2021
Last updated
04/03/2023
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