Provider Demographics
NPI:1003425554
Name:JOINER, DEONDRA (LPC)
Entity Type:Individual
Prefix:
First Name:DEONDRA
Middle Name:
Last Name:JOINER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:AL
Mailing Address - Zip Code:36274-8227
Mailing Address - Country:US
Mailing Address - Phone:334-646-0257
Mailing Address - Fax:
Practice Address - Street 1:1218 HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:AL
Practice Address - Zip Code:36274-7316
Practice Address - Country:US
Practice Address - Phone:333-346-4602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4107101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty