Individual
MR. JAMES PATRICK VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCC-S, LCDC III
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E 0002997
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374352
ANTHEM
—
01
—
258943000
MAGELLAN
—
01
—
95404
QUAL CHOICE
—
Enumeration date
11/22/2006
Last updated
12/18/2008
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