Vicki L Van Deilen, M ED, LPC
NPI #1568745313 in Blue Ridge, Georgia
Provider Information
- NPI Number
- 1568745313
- Entity Type
- Individual
- Name
- Vicki L Van Deilen, M ED, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- M ED, LPC
- Enumeration Date
- Sep 27, 2011
- Last Updated
- Sep 27, 2011
Practice Location
- Address
- 500 E MAIN ST
- Address 2
- SUITE 302
- City
- Blue Ridge
- State
- Georgia
- ZIP Code
- 30513-7149
- Phone
- (419) 351-5111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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