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Mr. Deangelo Laclarence Jelks
Mental Health Counselor in East Ridge, Tennessee
NPI 1346442548

Deangelo Laclarence Jelks is a Mental Health Counselor based in East Ridge, TN and is specialized in Mental Health. Deangelo Laclarence Jelks practices in East Ridge, TN. The NPI Number for Deangelo Laclarence Jelks is 1346442548 and holds a License No. (Tennessee).

The current practice location address for Deangelo Laclarence Jelks is 3623 Fountain Ave, East Ridge, TN and can be reached out via phone at 423-954-8860.

Location: 3623 Fountain Ave, East Ridge, TN, 37412-1846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346442548
Provider Name
Deangelo Laclarence Jelks
Credential
Provider Entity Type
Individual
Gender
Male
Address
3623 Fountain Ave, East Ridge, TN, 37412-1846
Phone Number
423-954-8860
Fax Number
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3623 Fountain Ave
City
East Ridge
State
Tennessee
Zip
37412-1846
Phone Number
423-954-8860
Fax Number
person
Provider Business Mailing Address Details
Address
3623 Fountain Ave
City
East Ridge
State
Tennessee
Zip
37412-1846
Phone Number
423-954-8860
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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