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Individual

JESSICA DRYMAN VETRENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LCAS-A

Contact information

Practice address
3125 POPLARWOOD CT, RALEIGH, NC 27604-1084
(919) 600-3939
Mailing address
3125 POPLARWOOD CT, RALEIGH, NC 27604-1084
(919) 600-3939

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PROVISIONAL STATUS
NC
101YM0800X
Mental Health Counselor
Primary
9243
NC

Other

Enumeration date
02/14/2012
Last updated
08/22/2013
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