MRS. Deepa Mary Panicker, LCMHC ASSOCIATE
NPI #1275309106 in Harrisburg, North Carolina
Provider Information
- NPI Number
- 1275309106
- Entity Type
- Individual
- Name
- MRS. Deepa Mary Panicker, LCMHC ASSOCIATE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCMHC ASSOCIATE
- Enumeration Date
- Dec 1, 2023
- Last Updated
- Dec 1, 2023
Practice Location
- Address
- 4351 MAIN ST STE 215
- City
- Harrisburg
- State
- North Carolina
- ZIP Code
- 28075-7429
- Phone
- (704) 456-7078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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