| Doctor Name: | DEANNE J TERRELL |
| NPI Number: | 1023246188 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | LPC4712 |
| Business Practice Address: | 1815 Old 41 Hwy Nw Suite 110 Kennesaw, GA - 301524420 |
| Business Phone Number: | 4043230733 |
| Business Fax Number: | 4042389460 |
| Mailing Address: | 1815 Old 41 Hwy Nw, Suite 110 KENNESAW |
| State: | GA |
| Postal Code: | 301524420 |
| Phone Number: | 4043230733 |
| Fax Number: | 4042389460 |
| NPI Enumeration Date: | 06/29/2009 |
| NPI Last Update Date: | 06/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC4712 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |