NPI 1710610191

Montrell Nmn Vinson, CPRS

Practitioner Peer Specialist Piscataway, NJ

Practice location

Address: 30 Knightsbridge Rd STE 625626, Piscataway, NJ 08854-3948
Phone: (732) 235-3289
Mailing address: 671 Hoes Ln W, Piscataway, NJ 08854-8021

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CPRS-50226 (NJ)

Other Peer Specialist providers in New Jersey →

Registry record

NPI: 1710610191
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2022
Record last updated: 5 Jul 2022

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.