Deconna, Paul

Deconna, Paul is an individual health care provider with primary practice located at 1213 Culbreth Dr Suite 235, Wilmington NC 28405-3684. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Deconna, Paul can be contacted via phone (910) 509-7212.

Contact Information

Primary practice address
1213 Culbreth Dr Suite 235 Wilmington NC 28405-3684
Phone: (910) 509-7212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C002814 North Carolina

Profile Details

NPI number 1427009307
LBN Legal business name Deconna, Paul
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427009307 NPPES
North Carolina MEDICAID 6002198
North Carolina Other 1017F
North Carolina Other IP463863

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