Individual
DEISHA C ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
233 W MOUNTAIN ST, SUITE 205, KERNERSVILLE, NC 27284-2529
(336) 908-8564
Mailing address
233 W MOUNTAIN ST, SUITE 205, KERNERSVILLE, NC 27284-2529
(336) 908-8564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8154
NC
Other
Enumeration date
08/18/2010
Last updated
08/08/2016
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