Provider Demographics
NPI:1790164200
Name:VANN, HILLARY (LPC,RPT)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:VANN
Suffix:
Gender:F
Credentials:LPC,RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 DIXIE DR
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:NC
Mailing Address - Zip Code:27576-2377
Mailing Address - Country:US
Mailing Address - Phone:919-604-1729
Mailing Address - Fax:
Practice Address - Street 1:501 GATEWAY DR
Practice Address - Street 2:SUITE 105
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2277
Practice Address - Country:US
Practice Address - Phone:919-793-6445
Practice Address - Fax:919-550-0337
Is Sole Proprietor?:No
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8986101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional