Individual
MRS. AMY LOUISE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII
Contact information
Practice address
5310 WALL ST, STE 500, MADISON, WI 53718
(608) 274-8294
Mailing address
5310 WALL ST, STE 500, MADISON, WI 53718
(608) 274-8294
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WI
106H00000X
Marriage & Family Therapist
—
WI
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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