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Individual
MR. MATTHEW VINSON
Active
Individual
MR. MATTHEW VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, CADC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16-05-19
OR
1041C0700X
Clinical Social Worker
Primary
7785
OR
1041C0700X
Clinical Social Worker
L7785
OR
171M00000X
Case Manager/Care Coordinator
—
NULL
Other
Enumeration date
01/26/2012
Last updated
08/11/2019
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