Maddison Vinyard

NPI #1972343143 in Springfield, Illinois

Provider Information

NPI Number: 1972343143
Entity Type: Individual
Name: Maddison Vinyard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 27, 2024
Last Updated: May 27, 2024

Practice Location

Address: 2930 MONTVALE DR STE E
City: Springfield
State: Illinois
ZIP Code: 62704-5376
Phone: (217) 717-4399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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