Provider Demographics
NPI:1598035156
Name:DEVEGA, DENITA LASHON (MA)
Entity Type:Individual
Prefix:
First Name:DENITA
Middle Name:LASHON
Last Name:DEVEGA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GRAYSON PL
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-5628
Mailing Address - Country:US
Mailing Address - Phone:919-669-1772
Mailing Address - Fax:
Practice Address - Street 1:100 GRAYSON PL
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-5628
Practice Address - Country:US
Practice Address - Phone:919-669-1772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)