Doctor Name: | DEBORAH L. CANFIELD |
NPI Number: | 1407154255 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1930 |
Business Practice Address: | 704 Old Lilesville Rd Wadesboro, NC - 281702820 |
Business Phone Number: | 7046946588 |
Business Fax Number: | |
Mailing Address: | 284 Executive Park Dr, Suite 100 CONCORD |
State: | NC |
Postal Code: | 280251894 |
Phone Number: | 7049391118 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2011 |
NPI Last Update Date: | 03/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1930 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |