Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Deepa Mary Panicker, LCMHCASSOCIATE

Individual provider Professional Counselor · NPI 1275309106

Mrs. Deepa Mary Panicker, LCMHCASSOCIATE is a Professional Counselor in Harrisburg, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

4351 Main St Ste 215
Harrisburg, NC 28075-7429
Phone: (704) 456-7078
Fax: (980) 216-8080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A19354 (NC)

Record details

NPI number1275309106
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCASSOCIATE
Sole proprietorYes
NPI enumeratedDecember 1, 2023
Last updated in NPPESDecember 1, 2023
Certification dateSeptember 21, 2023

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