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Individual

WILLIAM JAMES DE LEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.DIV., M.ED., M.S.

Contact information

Practice address
610 S COLLEGE RD, WILMINGTON, NC 28403-3202
(910) 799-1071
(910) 799-3313
Mailing address
610 S COLLEGE RD, WILMINGTON, NC 28403-3202
(910) 799-1071
(910) 799-3313

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1075
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139WN
BCBS
NC
01
2241880
CIGNA BEHAVIORAL HEALTH
NC
05
6105070
NC
01
E3406
MEDCOST
NC
Enumeration date
02/27/2007
Last updated
09/07/2007
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