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Joseph Rengifo, LCMHC,LCAS,CSI
Mental Health Counselor in Wilmington, North Carolina
NPI 1952842007

Joseph Rengifo is a Mental Health Counselor based in Wilmington, NC and is specialized in Mental Health. Joseph Rengifo practices in Wilmington, NC and has the professional credentials of LCMHC,LCAS,CSI. The NPI Number for Joseph Rengifo is 1952842007 and holds a License No. 12895 (North Carolina).

The current practice location address for Joseph Rengifo is 3825 Market St Ste 4, Wilmington, NC and can be reached out via phone at 910-777-5575 and via fax at 910-777-5273.

Location: 3825 Market St Ste 4, Wilmington, NC, 28403-1426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952842007
Provider Name
Joseph Rengifo
Credential
LCMHC,LCAS,CSI
Provider Entity Type
Individual
Gender
Male
Address
3825 Market St Ste 4, Wilmington, NC, 28403-1426
Phone Number
910-777-5575
Fax Number
910-777-5273
Provider Enumeration Date
03/08/2017
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1396206330 01 NC NPI
institution
Provider Business Practice Location Address Details
Address
3825 Market St Ste 4
City
Wilmington
State
North Carolina
Zip
28403-1426
Phone Number
910-777-5575
Fax Number
910-777-5273
person
Provider Business Mailing Address Details
Address
3825 Market St Ste 4
City
Wilmington
State
North Carolina
Zip
28403-1426
Phone Number
910-777-5575
Fax Number
910-777-5273
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
12895 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
12895 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LCAS-23186 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
12895 (North Carolina)
Definition
Definition to come...
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