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Individual

VANESSA MITCHELL VANDERGRIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
2409 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL 35976-2207
(256) 582-3203
(256) 582-3216
Mailing address
2409 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL 35976-2207
(256) 582-3203
(256) 582-3216

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
LPC05125
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51538232
BCBS
AL
Enumeration date
12/05/2006
Last updated
02/01/2024
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