Individual
JOHN RUSSELL VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
651 S CENTER AVE, SOMERSET, PA 15501-2811
(814) 445-1717
(814) 445-1885
Mailing address
131 MARKET ST, JOHNSTOWN, PA 15901
(814) 535-2277
(814) 536-5431
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC000023
PA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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