Troy Larry Vincent SR. LAC

NPI 1275748725 - Counselor - 101YM0800X

NPI Details
NPI 1275748725
Gender Male
Enumeration Date 05/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1507 N. PECAN ST.
NEWPORT AR, 72112, US
Phone (870) 523-3643
Fax
Business Location
PO BOX 2306
STATE UNIVERSITY AR, 72467-2306, US
Phone (870) 258-8116
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Arkansas
License Number A0704036
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According to our database, Mr. Troy Larry Vincent SR. LAC NPI is 1275748725, taxonomy code is 101YM0800X and license number is A0704036, license state is located at Arkansas. Troy Larry Vincent SR. LAC physically located at 1507 N. Pecan St., Newport AR, 72112. NPI Number Troy Larry Vincent SR. LAC has the Individual type.

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1275748725 NPI number is provided on an as is basis without warranty of any kind. 1275748725 is maintained by the National Plan & Provider Enumeration System. The contents of Troy Larry Vincent SR. LAC are for informational purposes only.