Jelks, Deangelo Laclarence

Jelks, Deangelo Laclarence is an individual health care provider with primary practice located at 3623 Fountain Ave Apartment 73, East Ridge TN 37412-1846. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jelks, Deangelo Laclarence can be contacted via phone (423) 954-8860.

Contact Information

Primary practice address
3623 Fountain Ave Apartment 73 East Ridge TN 37412-1846
Phone: (423) 954-8860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1346442548
LBN Legal business name Jelks, Deangelo Laclarence
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
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.

Request for update

Popular Providers