Individual
JOHN L VINYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10257 STATE ROUTE 3, RED BUD, IL 62278-4418
(618) 282-6233
(618) 282-6220
Mailing address
5653 STONE VILLA DR, SMITHTON, IL 62285-3626
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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