Individual
NICHOLAS RAMON DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MDIV
Contact information
Practice address
400 DENIM DR, ERWIN, NC 28339-2204
(910) 897-8930
(910) 897-8932
Mailing address
PO BOX 489, ERWIN, NC 28339-0489
(910) 897-8930
(910) 897-8932
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8287
NC
Other
Enumeration date
12/09/2010
Last updated
08/07/2012
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