Provider Demographics
NPI:1255667572
Name:VINCIGUERRA, ERICA LEE (MS, RPT, LPC-S)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:LEE
Last Name:VINCIGUERRA
Suffix:
Gender:F
Credentials:MS, RPT, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9436 ERRINGTON LN
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-0437
Mailing Address - Country:US
Mailing Address - Phone:704-577-7388
Mailing Address - Fax:
Practice Address - Street 1:9436 ERRINGTON LANE
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-1327
Practice Address - Country:US
Practice Address - Phone:704-577-7388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-21
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7524101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional