Doctor Name: | MS. ALYSON MARIE DELETETSKY |
NPI Number: | 1679887095 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 11933 |
Business Practice Address: | 655 Gilbert Rd Se Bolivia, NC - 284228757 |
Business Phone Number: | 2075909756 |
Business Fax Number: | |
Mailing Address: | 4937 Alamance Dr Se, SOUTHPORT |
State: | NC |
Postal Code: | 284617571 |
Phone Number: | 2075909756 |
Fax Number: | 9103634139 |
NPI Enumeration Date: | 07/27/2010 |
NPI Last Update Date: | 05/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 11933 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |