Individual
PROF. ADDRIS BLANCHE VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CRC
Contact information
Practice address
1734 HIRAM ST, JACKSONVILLE, FL 32209-6105
(904) 536-4371
(904) 379-1760
Mailing address
1734 HIRAM ST, JACKSONVILLE, FL 32209-6105
(904) 536-4371
(904) 379-1760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 9044
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689713496
—
FL
Enumeration date
03/09/2007
Last updated
07/08/2007
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