JACQUELINE MARIE VINSON

AURORA, IN
NPI1255080172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2022-03-18
Last Update Date2022-03-18
Business Address
JACQUELINE MARIE VINSON
204 PRUYN ST
AURORA, IN 47001-1124
Phone number: 812-221-0546
Mailing Address
JACQUELINE MARIE VINSON
204 PRUYN ST
AURORA, IN 47001-1124
Phone number: 812-221-0546