Individual
DEBORA HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
125 ALLEN ST, KERNERSVILLE, NC 27284-2940
(336) 283-3830
Mailing address
956 MEADOWLANDS DR, WINSTON SALEM, NC 27107-6025
(336) 471-6224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17430
NC
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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