| Doctor Name: | JOAN C VINTON |
| NPI Number: | 1467732206 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LADC,CCS,MHRT-C |
| License Number: | LC200 |
| Business Practice Address: | 147 Shaker Hill Rd Alfred, ME - 040023253 |
| Business Phone Number: | 2073241137 |
| Business Fax Number: | 2073245290 |
| Mailing Address: | Po Box 820, 147 Shaker Hill Road ALFRED |
| State: | ME |
| Postal Code: | 040020820 |
| Phone Number: | 2073241137 |
| Fax Number: | 2073245290 |
| NPI Enumeration Date: | 08/25/2011 |
| NPI Last Update Date: | 08/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LC200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |