Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 0701007780 | VA |
NPI | 1003391871 |
---|---|
Provider Name | Alissa Joi Deel |
First Address | Cedar Bluff, VA 24609-0810 |
Second Address | Cedar Bluff, VA 24609-0810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2018 |
Last Update Date | 27/09/2018 |