Individual
DIANE KAY ELLEFRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
315 E WASHINGTON ST, GREENSBORO, NC 27401-2911
(336) 387-6161
(336) 387-9167
Mailing address
902 BONNER DR, JAMESTOWN, NC 27282-8948
(336) 889-6105
(336) 387-9167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A8580
NC
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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