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Individual
MR. GERALD L VAILLANCOURT JR.
Active
Individual
MR. GERALD L VAILLANCOURT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC1596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1596
KS
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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