Doctor Name: | DONNA DEWAN |
NPI Number: | 1760815021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 10130 |
Business Practice Address: | 1398 Macedonia Rd Saluda, NC - 287737766 |
Business Phone Number: | 6073532391 |
Business Fax Number: | 8287492263 |
Mailing Address: | 1398 Macedonia Rd, SALUDA |
State: | NC |
Postal Code: | 287737766 |
Phone Number: | 6073532391 |
Fax Number: | 8287492263 |
NPI Enumeration Date: | 08/09/2013 |
NPI Last Update Date: | 08/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 10130 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |