Individual
DENNIS VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMSW
Contact information
Practice address
408 VIRGINIA STREET, PARIS, TN 38242
(731) 642-0521
Mailing address
408 VIRGINIA STREET, PARIS, TN 38242
(731) 642-0521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LSW0000005002
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441274
—
TN
Enumeration date
02/06/2007
Last updated
12/30/2014
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