Individual provider · Type 1 NPI
Agra Vinaude, LPC
Professional Counselor · East Moline, IL
NPI number
1669880076
Active
Practice location
4366 Kennedy Dr
East Moline, IL 61244-4250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.010160 (IL) |
Professional Counselor: Definition to come...
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About NPI 1669880076
Agra Vinaude, LPC's National Provider Identifier is 1669880076, issued on Jul 29, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in East Moline, IL. The record was last updated on Jul 29, 2014.