Jack Bryan Vance SR., BA

NPI #1184022212 in Corbin, Kentucky

Provider Information

NPI Number
1184022212
Entity Type
Individual
Name
Jack Bryan Vance SR., BA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
BA
Enumeration Date
Dec 5, 2014
Last Updated
Dec 5, 2014

Practice Location

Address
1203 AMERICAN GREETING CARD RD
City
Corbin
ZIP Code
40701-4811
Phone
(606) 528-7010

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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