Mr Deangelo Laclarence Jelks, - Counselor in East Ridge, TN

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Mr Deangelo Laclarence Jelks, is a Counselor - Mental Health based in East Ridge, Tennessee. Mr Deangelo Laclarence Jelks is licensed to practice in * (Not Available) (license number ) and his current practice location is 3623 Fountain Ave, Apartment 73, East Ridge, Tennessee. He can be reached at his office (for appointments etc.) via phone at (423) 954-8860.

NPI number for Mr Deangelo Laclarence Jelks is 1346442548 and his current mailing address is 3623 Fountain Ave, Apartment 73, East Ridge, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346442548.

Contact Information

Mr Deangelo Laclarence Jelks,
3623 Fountain Ave, Apartment 73,
East Ridge, TN 37412-1846
(423) 954-8860
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Deangelo Laclarence Jelks
GenderMale
SpecialityCounselor - Mental Health
Location3623 Fountain Ave, East Ridge, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346442548
  • Provider Enumeration Date: 06/01/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Deangelo Laclarence Jelks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346442548NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Deangelo Laclarence Jelks is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Deangelo Laclarence Jelks,
3623 Fountain Ave, Apartment 73,
East Ridge, TN 37412-1846

Ph: (423) 954-8860		Mr Deangelo Laclarence Jelks,
3623 Fountain Ave, Apartment 73,
East Ridge, TN 37412-1846

Ph: (423) 954-8860

Reviews and Comments


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