Individual
BLAINE FILMORE VINSON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC
Contact information
Practice address
5421 RIVER BLUFF PKWY, N CHARLESTON, SC 29420-7135
(843) 860-6620
Mailing address
5421 RIVER BLUFF PKWY, N CHARLESTON, SC 29420-7135
(843) 860-6620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6361
SC
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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