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Marlisa Vanhout, LPA

Counselor, Mental Health in Wilmington, NC. Individual provider (NPI-1).

NPI number1710072699
StatusActive
Last updated in NPPESMar 7, 2008

Details

NPI
1710072699
Entity type
Individual (NPI-1)
Name
Marlisa Vanhout
Credential
LPA
Sex
Female
Sole proprietor
No
Enumeration date
Oct 4, 2006
Last updated
Mar 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health2005NCYes

Other names

  • Marlisa Nance (Professional Name)

Practice location

1907 S 17th St
Suite 1
Wilmington, NC 28401-6626

Phone 910-343-8424 · Fax 910-343-6989

Mailing address

1907 S 17th St
Suite 1
Wilmington, NC 28401-6626

Phone 910-343-8424 · Fax 910-343-6989

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