SearchGeorgia101YP2500X

Vicki Van Deilen, M ED, LPC

NPI 1568745313 · on the registry since 2011 · sole proprietor

Practice

Address
500 E Main St
Suite 302
Blue Ridge, GA 30513
Phone
(419) 351-5111
Fax
(828) 837-8410

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YM0800X
101YP2500X
Licence states on file
GA, OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia