Individual
SUSAN HERZOG VANNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT, LCAS
Contact information
Practice address
938B W KING ST, BOONE, NC 28607-3467
(828) 270-7835
Mailing address
938B W KING ST, BOONE, NC 28607-3467
(828) 270-7835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2505
NC
106H00000X
Marriage & Family Therapist
Primary
1505
NC
Other
Enumeration date
06/11/2013
Last updated
11/29/2015
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