Individual
ASHLAN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 NORTHEAST DR STE 201, DAVIDSON, NC 28036-7438
(704) 896-7776
Mailing address
120 ASSEMBLY DR UNIT 108, MOORESVILLE, NC 28117-5446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16802
NC
Other
Enumeration date
07/25/2021
Last updated
07/25/2021
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