Individual
HEIDI KATHRYN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1540 PURDUE DR, SUITE 200, FAYETTEVILLE, NC 28303-5509
(910) 867-8889
Mailing address
1540 PURDUE DR, SUITE 200, FAYETTEVILLE, NC 28303-5509
(910) 867-8889
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A9230
NC
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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