| Vanderhall Counseling Services, P.c. | |
|
2910 Julian Glen Cir Waxhaw NC 28173-4101 | |
| (704) 995-6279 | |
| Not Available |
| Full Name | Vanderhall Counseling Services, P.c. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2910 Julian Glen Cir, Waxhaw, North Carolina |
| Authorized Official Name and Position | Carolyn Lennon Vanderhall (OWNER/THERAPIST) |
| Authorized Official Contact | 7049956279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanderhall Counseling Services, P.c. 2910 Julian Glen Cir Waxhaw NC 28173-4101 Ph: (704) 995-6279 | Vanderhall Counseling Services, P.c. 2910 Julian Glen Cir Waxhaw NC 28173-4101 Ph: (704) 995-6279 |
| NPI Number | 1831363647 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831363647 | NPI | - | NPPES |
| 6102249 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3910 (North Carolina) | Primary |
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