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Vincent R Phenix
Mental Health Counselor in Pine Bluff, Arkansas
NPI 1366692014

Vincent R Phenix is a Mental Health Counselor based in Pine Bluff, AR and is specialized in Mental Health. Vincent R Phenix practices in Pine Bluff, AR. The NPI Number for Vincent R Phenix is 1366692014 and holds a License No. (Arkansas).

The current practice location address for Vincent R Phenix is 3004 W 34Th Ave, Pine Bluff, AR and can be reached out via phone at 870-534-1880.

Location: 3004 W 34Th Ave, Pine Bluff, AR, 71603-3937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366692014
Provider Name
Vincent R Phenix
Credential
Provider Entity Type
Individual
Gender
Male
Address
3004 W 34Th Ave, Pine Bluff, AR, 71603-3937
Phone Number
870-534-1880
Fax Number
Provider Enumeration Date
09/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
116378726 05 AR
institution
Provider Business Practice Location Address Details
Address
3004 W 34Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-5502
Phone Number
870-534-1880
Fax Number
person
Provider Business Mailing Address Details
Address
3004 W 34Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-5502
Phone Number
870-534-1880
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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