Individual
VANESSA VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 VEAZEY DR, BUTNER, NC 27509-1668
(919) 764-5827
Mailing address
300 VEAZEY DR, BUTNER, NC 27509-1668
(919) 764-5827
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000692
—
NC
Enumeration date
07/13/2006
Last updated
05/21/2013
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