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Carl Vincent
NPI 1922019991 · on the registry since 2006
Practice
- Address
- 2100 52nd Ave
Moline, IL 61265 - Phone
- (309) 797-2900
- Fax
- (309) 797-2147
- Organisation at this address
- Southpark Psychology Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois