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Mr. Kevin L Deloach
Adolescent and Children Mental Health Clinic/Center in Fayetteville, North Carolina
NPI 1114159928

Kevin L Deloach is an Adolescent and Children Mental Health Clinic/Center based in Fayetteville, NC and is specialized in Adolescent and Children Mental Health. Kevin L Deloach practices in Fayetteville, NC. The NPI Number for Kevin L Deloach is 1114159928 and holds a License No. (North Carolina).

The current practice location address for Kevin L Deloach is 6111 Conaway Dr, Fayetteville, NC and can be reached out via phone at 910-512-6760.

Location: 6111 Conaway Dr, Fayetteville, NC, 28314-2700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114159928
Provider Name
Kevin L Deloach
Credential
Provider Entity Type
Individual
Gender
Male
Address
6111 Conaway Dr, Fayetteville, NC, 28314-2700
Phone Number
910-512-6760
Fax Number
Provider Enumeration Date
08/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6111 Conaway Dr
City
Fayetteville
State
North Carolina
Zip
28314-2700
Phone Number
910-512-6760
Fax Number
person
Provider Business Mailing Address Details
Address
6111 Conaway Dr
City
Fayetteville
State
North Carolina
Zip
28314-2700
Phone Number
910-512-6760
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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