Individual provider · Type 1 NPI

Mary Leslie Vance

Mental Health Counselor · Durant, OK

NPI number 1184902322 Active

Practice location

1604 N Washington Ave
Durant, OK 74701-2128

Mailing address

162 County Road 42400
Paris, TX 75462-3178

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1184902322

Mary Leslie Vance's National Provider Identifier is 1184902322, issued on Jul 21, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durant, OK. The record was last updated on Jul 21, 2011.