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Individual

CHARLES D VINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4909 S COAST HWY STE 1, SOUTH BEACH, OR 97366-9667
(541) 265-4190
(541) 574-6252
Mailing address
4909 S COAST HWY STE 1, SOUTH BEACH, OR 97366-9667
(541) 265-4190
(541) 574-6252

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/21/2011
Last updated
03/21/2011
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