Individual
TAMIIKA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PROVISIONAL LPE
Contact information
Practice address
2411 W MAIN ST, JACKSONVILLE, AR 72076-4211
(501) 982-5402
(501) 533-6378
Mailing address
2411 W MAIN ST, JACKSONVILLE, AR 72076-4211
(501) 982-5402
(501) 533-6378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
08-42AE-PL
AR
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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