Provider Demographics
NPI:1386202943
Name:VERNELSON, SEANA
Entity Type:Individual
Prefix:
First Name:SEANA
Middle Name:
Last Name:VERNELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 E PALMER ST STE 20120
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-3040
Mailing Address - Country:US
Mailing Address - Phone:828-342-5652
Mailing Address - Fax:
Practice Address - Street 1:133 E PALMER ST STE 20120
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-3040
Practice Address - Country:US
Practice Address - Phone:828-342-5652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health