Doctor Name: | Q'NEISHIA DANIELLE LEE |
NPI Number: | 1144657776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC-A |
License Number: | A10416 |
Business Practice Address: | 5836 Kenville Green Cir Kernersville, NC - 272847129 |
Business Phone Number: | 9199220713 |
Business Fax Number: | |
Mailing Address: | 5836 Kenville Green Cir, KERNERSVILLE |
State: | NC |
Postal Code: | 272847129 |
Phone Number: | 9199220713 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2013 |
NPI Last Update Date: | 09/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | A10416 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |