Individual
JOSEPH RENGIFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC, LCAS, CSI
Contact information
Practice address
3825 MARKET ST STE 4, WILMINGTON, NC 28403-1426
(910) 777-5575
(910) 777-5273
Mailing address
3825 MARKET ST STE 4, WILMINGTON, NC 28403-1426
(910) 777-5575
(910) 777-5273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
12895
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-23186
NC
101YM0800X
Mental Health Counselor
Primary
12895
NC
101YP2500X
Professional Counselor
12895
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396206330
NPI
NC
Enumeration date
03/08/2017
Last updated
01/26/2023
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