MR. Deangelo Laclarence Jelks
NPI #1346442548 in East Ridge, Tennessee
Provider Information
- NPI Number
- 1346442548
- Entity Type
- Individual
- Name
- MR. Deangelo Laclarence Jelks
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3623 FOUNTAIN AVE
- Address 2
- APARTMENT 73
- City
- East Ridge
- State
- Tennessee
- ZIP Code
- 37412-1846
- Phone
- (423) 954-8860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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