Individual provider · Type 1 NPI
Deangelo Laclarence Jelks
Mental Health Counselor · East Ridge, TN
NPI number
1346442548
Active
Practice location
3623 Fountain Ave, Apartment 73
East Ridge, TN 37412-1846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in East Ridge
About NPI 1346442548
Deangelo Laclarence Jelks's National Provider Identifier is 1346442548, issued on Jun 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Ridge, TN. The record was last updated on Jul 8, 2007.