Individual
JACQUELINE MARIE VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 PRUYN ST, AURORA, IN 47001-1124
(812) 221-0546
Mailing address
204 PRUYN ST, AURORA, IN 47001-1124
(812) 221-0546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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