Individual
MICHELLE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2624 LEXINGTON AVE, SPRINGFIELD, OH 45505-2620
(937) 328-5300
(937) 328-5300
Mailing address
2624 LEXINGTON AVE, SPRINGFIELD, OH 45505-2620
(937) 328-5300
(937) 328-5300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0031598
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274411
—
OH
Enumeration date
04/21/2014
Last updated
04/16/2026
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