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Joseph Rengifo, LCMHC, LCAS, CSI

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

NPI number1952842007
StatusActive
Last updated in NPPESJan 26, 2023

Details

NPI
1952842007
Entity type
Individual (NPI-1)
Name
Joseph Rengifo
Credential
LCMHC, LCAS, CSI
Sex
Male
Sole proprietor
No
Enumeration date
Mar 8, 2017
Certification date
Jan 26, 2023
Last updated
Jan 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health12895NCYes
101Y00000X Counselor12895NC
101YA0400X Counselor, Addiction (Substance Use Disorder)LCAS-23186NC
101YP2500X Counselor, Professional12895NC

Practice location

3825 Market St Ste 4
Wilmington, NC 28403-1426

Phone 910-777-5575 · Fax 910-777-5273

Mailing address

3825 Market St Ste 4
Wilmington, NC 28403-1426

Phone 910-777-5575 · Fax 910-777-5273

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