Individual
BRAD VUNCANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
104 NEWHOPE DRIVE, CORINTH, MS 38834
(662) 287-7199
(662) 286-8095
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-2152
(662) 286-8095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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