Provider Demographics
NPI:1497880884
Name:VINTERELLA, SALVADORE A (LPC, LMFT)
Entity Type:Individual
Prefix:MR
First Name:SALVADORE
Middle Name:A
Last Name:VINTERELLA
Suffix:
Gender:M
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 CANNES DR
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-2407
Mailing Address - Country:US
Mailing Address - Phone:985-652-4330
Mailing Address - Fax:985-652-4335
Practice Address - Street 1:1706 CANNES DR
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-2407
Practice Address - Country:US
Practice Address - Phone:985-652-4330
Practice Address - Fax:985-652-4335
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2113101YM0800X
LA164106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist