NPI 1114245602

Robert Jay Vance, MSLPCNCC

Practitioner Professional Counselor Fpo, AE

Practice location

Address: Psc 817 Box 14, Fpo, AE 09622-0014
Phone: 01139081568
Fax: (081) 568-5299

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 3281 (NC)

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Registry record

NPI: 1114245602
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2010
Record last updated: 10 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.