Provider Demographics
NPI:1346308806
Name:POROWSKI, VIRGINIA C (MA)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:C
Last Name:POROWSKI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8218 CREEDMOOR RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1371
Mailing Address - Country:US
Mailing Address - Phone:919-846-0900
Mailing Address - Fax:919-866-0873
Practice Address - Street 1:8218 CREEDMOOR RD
Practice Address - Street 2:SUITE 101
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-1371
Practice Address - Country:US
Practice Address - Phone:919-846-0900
Practice Address - Fax:919-866-0873
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3970101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional