| Doctor Name: | JAMES VINCENT |
| NPI Number: | 1063893758 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC |
| License Number: | E0500630 |
| Business Practice Address: | 15303 St Rte 170 East Liverpool, OH - 439209585 |
| Business Phone Number: | 3303851000 |
| Business Fax Number: | 3303853588 |
| Mailing Address: | 9072 State Route 7, ROGERS |
| State: | OH |
| Postal Code: | 444559767 |
| Phone Number: | 3303851000 |
| Fax Number: | 3303853588 |
| NPI Enumeration Date: | 06/18/2015 |
| NPI Last Update Date: | 06/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E0500630 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |