Individual
VICKI MANSURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
77 GREENBROOK DR, COLUMBUS, NJ 08022-2324
(609) 284-4518
Mailing address
77 GREENBROOK DR, COLUMBUS, NJ 08022-2324
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012999
PA
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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