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Kenneth Vance, PCAT
Addiction (Substance Use Disorder) Counselor in Jackson, Mississippi
NPI 1871072405

Kenneth Vance is an Addiction (Substance Use Disorder) Counselor based in Jackson, MS and is specialized in Addiction (Substance Use Disorder). Kenneth Vance practices in Jackson, MS and has the professional credentials of PCAT. The NPI Number for Kenneth Vance is 1871072405 and holds a License No. (Mississippi).

The current practice location address for Kenneth Vance is 3450 Highway 80 W, Jackson, MS and can be reached out via phone at 601-321-2400 and via fax at 601-985-5174. You can also correspond with Kenneth Vance through the mailing address at 3450 HIGHWAY 80 W, JACKSON, MS - 39209-7201 (mailing address contact number: 601-321-2400).

Location: 3450 Highway 80 W, Jackson, MS, 39209-7201
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Provider Profile Details
NPI Number
1871072405
Provider Name
Kenneth Vance
Credential
PCAT
Provider Entity Type
Individual
Gender
Male
Address
3450 Highway 80 W, Jackson, MS, 39209-7201
Phone Number
601-321-2400
Fax Number
601-985-5174
Provider Enumeration Date
08/14/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018209 05 MS
institution
Provider Business Practice Location Address Details
Address
3450 Highway 80 W
City
State
Zip
39209-7201
Phone Number
601-321-2400
Fax Number
601-985-5174
person
Provider Business Mailing Address Details
Address
3450 Highway 80 W
City
State
Zip
39209-7201
Phone Number
601-321-2400
Fax Number
601-985-5174
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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