DR. JERRY WAYNE VUNCANNON PH.D. LPC NCC NPI 1477792521

NPI Information

NPI: 1477792521
Provider Name: DR. JERRY WAYNE VUNCANNON, PH.D., LPC, NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
901 ARSENAL AVE
STE 202
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 323-3368
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DR. Jerry Wayne Vuncannon, PH.D., LPC, NCC is a professional counselor in Fayetteville, NC. DR. Jerry Wayne Vuncannon, PH.D., LPC, NCC NPI is 1477792521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 ARSENAL AVE
STE 202
FAYETTEVILLE, NC
ZIP 28305-398
Phone: (910) 323-3368

The enumeration date for this NPI number is 2/12/2009 and was last updated on 6/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6104128	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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