Individual
MS. ELAINE VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAG
Contact information
Practice address
8005 WYNEWOOD DR, RALEIGH, NC 27616-5666
(919) 274-1187
(919) 790-1924
Mailing address
8005 WYNEWOOD DR, RALEIGH, NC 27616-5666
(919) 274-1187
(919) 790-1924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5248
NC
103TS0200X
School Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142CF
BCBS
NC
05
—
6006344
—
NC
05
—
6103167
—
NC
Enumeration date
07/05/2006
Last updated
02/16/2024
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