Individual
PETER CARRINGTON VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1184
(704) 939-1173
Mailing address
2220 QUEENSWQOOD DRIVE, WINSTON-SALEM, NC 27106-4953
(336) 760-0797
(336) 760-0797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
143
NC
Other
Enumeration date
05/03/2007
Last updated
07/26/2013
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