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Individual

VANESSA DAWN MAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
643 GREENWAY RD STE L, BOONE, NC 28607-4840
(828) 263-6123
Mailing address
539 PLEASANT VALLEY RD, MOUNTAIN CITY, TN 37683-6122
(423) 530-1685

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-29945
NC
104100000X
Social Worker
Primary
P020927
NC

Other

Enumeration date
10/01/2025
Last updated
10/02/2025
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