Individual
CAROLYN L. VANDERHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2910 JULIAN GLEN CIR, WAXHAW, NC 28173-4101
(336) 202-9516
Mailing address
2910 JULIAN GLEN CIR, WAXHAW, NC 28173-4101
(336) 202-9516
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3910
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102249
—
NC
Enumeration date
02/26/2007
Last updated
08/07/2008
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