Organization
VANQUISH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE PETTWAY MS, ALC (OWNER)
(205) 386-0809
Entity
Organization
Contact information
Practice address
1005 ROSE HILL CIR, HUEYTOWN, AL 35023-3660
(205) 386-0809
Mailing address
1005 ROSE HILL CIR, HUEYTOWN, AL 35023-3660
(205) 386-0809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/07/2023
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