Individual provider · Type 1 NPI

Tamiika Vincent, PROVISIONAL LPE

Mental Health Counselor · Jacksonville, AR

NPI number 1437397403 Active

Practice location

2411 W Main St
Jacksonville, AR 72076-4211

Fax (501) 533-6378

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X08-42AE-PL (AR)

Mental Health Counselor: Definition to come...

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About NPI 1437397403

Tamiika Vincent, PROVISIONAL LPE's National Provider Identifier is 1437397403, issued on Jan 29, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, AR. The record was last updated on Jan 29, 2009.