Individual
DR. KEVIN DALE VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSC-AD
Contact information
Practice address
8909 KELSO DR, ESSEX, MD 21221-3113
(410) 486-2500
(410) 780-8686
Mailing address
8909 KELSO DR, ESSEX, MD 21221-3113
(410) 486-2500
(410) 780-8686
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC2373
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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