Individual
DR. INEZ MARIE SERVENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MSW, LCSW
Contact information
Practice address
106 OAKLEY AVE, SUITE 300, PINEVILLE, NC 28134-8619
(704) 806-3200
(704) 889-5649
Mailing address
106 OAKLEY AVE, SUITE 300, PINEVILLE, NC 28134-8619
(704) 806-3200
(704) 889-5649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C004887
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140GP
BCBSNC PROVIDER NUMBER
NC
01
—
184757
MEDCOST PROVIDER NUMBER
NC
Enumeration date
08/11/2006
Last updated
04/12/2011
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