Individual
MRS. CHARLENE MISCHELLE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2000 COOMBS FARM RD STE 106, MORGANTOWN, WV 26508-1126
(304) 381-2211
Mailing address
1602 COLUMBIA DR, FAIRMONT, WV 26554-9251
(304) 367-9412
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1833
WV
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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