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Mrs. Tanya Depetris
Mental Health Counselor in Lewisville, North Carolina
NPI 1790409613

Tanya Depetris is a Mental Health Counselor based in Pilot Mountain, NC and is specialized in Mental Health. Tanya Depetris practices in Lewisville, NC. The NPI Number for Tanya Depetris is 1790409613 and holds a License No. (North Carolina).

The current practice location address for Tanya Depetris is 6614 Shallowford Rd Ste 250, Lewisville, NC and can be reached out via phone at 336-945-0137.

Location: 6614 Shallowford Rd Ste 250, Lewisville, NC, 27041-9372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790409613
Provider Name
Tanya Depetris
Credential
Provider Entity Type
Individual
Gender
Female
Address
6614 Shallowford Rd Ste 250, Lewisville, NC, 27041-9372
Phone Number
336-945-0137
Fax Number
Provider Enumeration Date
10/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6614 Shallowford Rd Ste 250
City
Lewisville
State
North Carolina
Zip
27023-9305
Phone Number
336-945-0137
Fax Number
person
Provider Business Mailing Address Details
Address
6614 Shallowford Rd Ste 250
City
Lewisville
State
North Carolina
Zip
27023-9305
Phone Number
336-945-0137
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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