Individual
DANIELLE MARIE VANDEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1446 E GASTON ST STE 101, LINCOLNTON, NC 28092-4441
(704) 284-0554
Mailing address
1446 E GASTON ST STE 101, LINCOLNTON, NC 28092-4441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P016802
LCSWA #
NC
Enumeration date
08/23/2021
Last updated
08/23/2021
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