Doctor Name: | ASHLEY VINK |
NPI Number: | 1306273081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC/I |
License Number: | 5619 |
Business Practice Address: | 120 W Church St Batesburg, SC - 290062107 |
Business Phone Number: | 8035328414 |
Business Fax Number: | |
Mailing Address: | 665a Hatten Rd, COLUMBIA |
State: | SC |
Postal Code: | 292031503 |
Phone Number: | 5737951462 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2013 |
NPI Last Update Date: | 09/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5619 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |