MARINA J. VENDRILLO M.S., LPCA, CRC
NPI 1255862405
Counselor in Clemmons, NC

Active since March 21, 2017
7654 RIVERVIEW KNOLL CT, CLEMMONS, NC 27012(336) 413-6607 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marina J. Vendrillo M.s., Lpca, Crc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINA J. VENDRILLO M.S., LPCA, CRC (NPI 1255862405) is an individual counselor in Clemmons, North Carolina, licensed in North Carolina (A10753) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1255862405
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARINA J. VENDRILLOCredential: M.S., LPCA, CRC
Location Address7654 RIVERVIEW KNOLL CTClemmons, NC 27012-7725
Mailing Address7654 Riverview Knoll CtClemmons, NC 27012-7725
Sole ProprietorYes
Enumeration DateMarch 21, 2017
NPI 1255862405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NC · A10753
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.

Also ListedRehabilitation CounselorTaxonomy 225C00000X · License 00117504 (NC)
7654 RIVERVIEW KNOLL CT, Clemmons, NC 27012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255862405, enumerated as an "individual" on March 21, 2017.

The provider is located at 7654 RIVERVIEW KNOLL CT CLEMMONS, NC 27012 and the phone number is (336) 413-6607.

Counselor with taxonomy code 101Y00000X.