# VINCENT COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245778166
- **Authorized official:** MRS. TARA M WOODARD (OFFICE MANAGER)
- **Authorized official phone:** (667) 200-7175

## Contact information

- **Practice address:** 7519 HAINES CT, LAUREL, MD 20707-3345
- **Practice address phone:** (443) 303-9205
- **Mailing address:** 7519 HAINES CT, LAUREL, MD 20707-3345
- **Mailing address phone:** (443) 303-9205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | PRC11 | DC | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LCA139 | MD | Yes |

## Other

- **Enumeration date:** 02/11/2017
- **Last updated:** 02/11/2017