Individual provider · Type 1 NPI

Tanya Depetris

Mental Health Counselor · Lewisville, NC

NPI number 1790409613 Active

Practice location

6614 Shallowford Rd Ste 250
Lewisville, NC 27023-9305

Call (336) 945-0137 Map

Mailing address

903 Dodson Mill Rd
Pilot Mountain, NC 27041-9372

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790409613

Tanya Depetris's National Provider Identifier is 1790409613, issued on Oct 4, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lewisville, NC. The record was last updated on Oct 4, 2022.