Individual
WALTER W. VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
403 E NASH ST, LOUISBURG, NC 27549-2461
(252) 477-0008
(252) 303-0321
Mailing address
PO BOX 98, LOUISBURG, NC 27549-0098
(252) 477-0008
(252) 477-0008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3533
NC
101YM0800X
Mental Health Counselor
3533
NC
Other
Enumeration date
03/16/2009
Last updated
12/02/2021
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