Individual
MARINA J. VENDRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPCA, CRC
Contact information
Practice address
7654 RIVERVIEW KNOLL CT, CLEMMONS, NC 27012-7725
(336) 413-6607
Mailing address
7654 RIVERVIEW KNOLL CT, CLEMMONS, NC 27012-7725
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A10753
NC
225C00000X
Rehabilitation Counselor
00117504
NC
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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