Vanessa Upshire-Tribble
Social Worker, Clinical in Burlington, NC. Individual provider (NPI-1).
NPI number1669914735
StatusActive
Last updated in NPPESFeb 17, 2022
Details
- NPI
- 1669914735
- Entity type
- Individual (NPI-1)
- Name
- Vanessa Upshire-Tribble
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2016
- Certification date
- Feb 17, 2022
- Last updated
- Feb 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C014709 | NC | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LCAS-26422 | NC | |
| 1041C0700X | Social Worker, Clinical | P010989 | NC |
Practice location
2732 Ann Elizabeth DrBurlington, NC 27215-5111
Phone 336-229-5905 · Fax 336-229-5906
Mailing address
2732 Ann Elizabeth DrBurlington, NC 27215-5111
Phone 336-229-5905 · Fax 336-229-5906
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