Individual
HOLLY DEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 N MAIN ST, PEMBROKE, NC 28372-7268
(910) 522-0421
Mailing address
PO BOX 3959, PEMBROKE, NC 28372-3959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21417
NC
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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