Individual
JILLIAN VANDEGRIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
30 CUMBERLAND AVE STE 104, ASHEVILLE, NC 28801-2206
(828) 774-6892
Mailing address
40 GREEN HILL AVE, ASHEVILLE, NC 28806-1714
(828) 774-6892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13795
NC
101YP2500X
Professional Counselor
A13795
NC
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
09/15/2010
Last updated
11/01/2019
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