BRAD VUNCANNON

CORINTH, MS
NPI1205013158
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-01-23
Last Update Date2008-01-23
Business Address
-- BRAD VUNCANNON CADC
104 NEWHOPE DRIVE
CORINTH, MS 38834
Phone number: 662-287-7199
Mailing Address
-- BRAD VUNCANNON CADC
PO BOX 839
CORINTH, MS 38835-0839
Phone number: 662-286-2152
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