Provider Demographics
NPI:1235783556
Name:VINECOMBE, TONIA KENDALL (LPC)
Entity Type:Individual
Prefix:
First Name:TONIA
Middle Name:KENDALL
Last Name:VINECOMBE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 W MAIN ST STE 8
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-1600
Mailing Address - Country:US
Mailing Address - Phone:540-319-4215
Mailing Address - Fax:
Practice Address - Street 1:605 CALVERT ST
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-4754
Practice Address - Country:US
Practice Address - Phone:540-319-4215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006745101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health