Individual
DEANDRA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4389 INDIAN TRAIL FAIRVIEW RD STE 17, INDIAN TRAIL, NC 28079-9648
(704) 890-8741
Mailing address
4389 INDIAN TRAIL FAIRVIEW RD STE 17, INDIAN TRAIL, NC 28079-9648
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/30/2025
Last updated
10/31/2025
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