Individual
CATHERINE BISHOP VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
407 E PERCY ST, INDIANOLA, MS 38751-2543
(803) 629-0872
Mailing address
407 E PERCY ST, INDIANOLA, MS 38751-2543
(803) 629-0872
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1585
MS
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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