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Individual

MRS. DANA M VINCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, MHSP

Contact information

Practice address
123 CENTER PARK DR., SUITE 228, KNOXVILLE, TN 37922
(865) 283-1777
Mailing address
123 CENTER PARK DR., SUITE 228, KNOXVILLE, TN 37922
(865) 283-1777

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2625
TN
101YM0800X
Mental Health Counselor
MH 8863
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MH8863
FLORIDA STATE LICENSING BOARD
FL
Enumeration date
03/25/2009
Last updated
12/16/2010
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