Individual
JAMESETTER LUESINDER CREDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2668 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-5655
(336) 200-7020
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8217
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104989
—
NC
Enumeration date
07/08/2009
Last updated
10/18/2024
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