Most Relevant Information
Provider Data
| NPI Number: | 1003429499 |
| Provider Name: | DWAYNE LAMAR DELANEY BA-QMHP-C/A |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2020 |
| Last Updated: | 08/26/2020 |
Provider Practice Location
19204 PERKINSON RD
JETERSVILLE
VA
230832000
Practice Location Phone/Fax
| Phone: | 8045134289 |
| Fax: |
Provider Mailing Location
19204 PERKINSON RD
JETERSVILLE
VA
230832000
Provider Mailing Phone/Fax
| Phone: | 8045134289 |
| Fax: |