Individual
DEBRA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHS LL
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 678-8875
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 525-5079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
05/19/2025
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