Individual provider · Type 1 NPI
Mark R. Vanderlip, M.A., LPC/MHSP
Professional Counselor · Louisville, TN
NPI number
1508040130
Active
Practice location
3845 Holston College Rd.
Louisville, TN 37777-4029
Fax (865) 380-5088
Mailing address
201 West Springdale Ave.
Knoxville, TN 37917-5158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 9726 (CO) |
| Professional Counselor Primary | 101YP2500X | LPC2607 (TN) |
| Mental Health Counselor | 101YM0800X | LPC2607 (TN) |
Professional Counselor: Definition to come...
Other professional counselor providers in Louisville
About NPI 1508040130
Mark R. Vanderlip, M.A., LPC/MHSP's National Provider Identifier is 1508040130, issued on Dec 18, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Louisville, TN. The record was last updated on Nov 19, 2010.