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Individual

DAVID E VANCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 492-0241
Mailing address
621 MADRONE ST, COMMUNITY HEALTH ALLIANCE, ROSEBURG, OR 97470
(541) 492-0241

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4433
OR

Other

Enumeration date
01/14/2015
Last updated
03/09/2017
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