Individual provider · Type 1 NPI

Dominique Vedrine, MA

Marriage & Family Therapist · Mauldin, SC

NPI number 1104979012 Active

Practice location

213 E Butler Rd # 310
Mauldin, SC 29662-2171

Mailing address

213 E Butler Rd Ste D1
Mauldin, SC 29662-2172

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist Primary 106H00000X4583 (SC)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1104979012

Dominique Vedrine, MA's National Provider Identifier is 1104979012, issued on Jan 22, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Mauldin, SC. The record was last updated on Jan 22, 2024.