Individual
MR. PATRICK ROBERT VACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
604 LANCASTER AVE, MONROE, NC 28112-5902
(704) 226-1352
Mailing address
601 E 5TH ST STE 400, CHARLOTTE, NC 28202-3095
(704) 421-2064
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/12/2009
Last updated
08/17/2010
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