Most Relevant Information
Provider Data
| NPI Number: | 1003391871 |
| Provider Name: | ALISSA JOI DEEL LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 0701007780 |
Most Important Dates
| Enumeration Date: | 09/27/2018 |
| Last Updated: | 03/21/2024 |
Provider Practice Location
113 CUMBERLAND ROAD
CEDAR BLUFF
VA
246090810
Practice Location Phone/Fax
| Phone: | 2769646702 |
| Fax: | 2769640292 |
Provider Mailing Location
PO BOX 810
CEDAR BLUFF
VA
246090810
Provider Mailing Phone/Fax
| Phone: | 2769646702 |
| Fax: | 2769640292 |