KENNETH VANCE

JACKSON, MS
NPI1871072405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2018-08-14
Last Update Date2018-08-14
Business Address
KENNETH VANCE PCAT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
Mailing Address
KENNETH VANCE PCAT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
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