Individual
ANITA D VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
8010 SUFFIELD GLEN LN, HUMBLE, TX 77338-2022
(832) 557-0146
Mailing address
PO BOX 62811, HOUSTON, TX 77205-2801
(832) 557-0146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16178
TX
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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