Individual
DEANNA DENISE VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA, LCASA
Contact information
Practice address
107 N SUMMEY ST, DALLAS, NC 28034-1824
(704) 865-3525
Mailing address
PO BOX 4003, GASTONIA, NC 28054-0041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/01/2017
Last updated
04/15/2022
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