Individual
BRIAN PATRICK VANVECHTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
104 CERAL LN, ORISKANY, NY 13424-4702
(315) 868-2342
Mailing address
104 CERAL LN, ORISKANY, NY 13424-4702
(315) 868-2342
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
098678
NY
Other
Enumeration date
01/23/2020
Last updated
09/08/2023
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