Individual
ANDREA T VINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LPC, MHC
Contact information
Practice address
15744 GAULT ST, VAN NUYS, CA 91406-5149
(213) 649-8092
Mailing address
15744 GAULT ST, VAN NUYS, CA 91406-5149
(213) 649-8092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13043
CA
101YM0800X
Mental Health Counselor
C5718
OR
101YM0800X
Mental Health Counselor
CTB-2023-0601
NM
101YM0800X
Mental Health Counselor
LH61408460
WA
Other
Enumeration date
05/18/2016
Last updated
05/24/2025
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