Individual
LAUREN DELANEY VANDEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CRC
Contact information
Practice address
4412 PARK RD, CHARLOTTE, NC 28209-3130
(980) 217-6901
Mailing address
325 E PARK AVE APT 2, CHARLOTTE, NC 28203-4770
(704) 771-4639
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15001
NC
101Y00000X
Counselor
A15001
NC
Other
Enumeration date
07/17/2019
Last updated
12/31/2021
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