Individual
JAMES EDWARD VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CCAC, LSW,
Contact information
Practice address
1000 CENTRE WAY, CHARLESTON, WV 25309-9426
(304) 746-5166
(304) 746-5279
Mailing address
308 MONROE ST, SOUTH CHARLESTON, WV 25303-1801
(304) 746-5166
(304) 746-5279
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
WV376
WV
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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