Individual provider · NPI-1

Vincent Ancona

Counselor, Professional · Ann Arbor, MI

NPI number1659925618
StatusActive
Last updated in NPPESJul 29, 2019

Details

NPI
1659925618
Entity type
Individual (NPI-1)
Name
Vincent Ancona
Sex
Male
Sole proprietor
No
Enumeration date
Jul 29, 2019
Last updated
Jul 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional6801104851MIYes

Practice location

122 S Main St Ste 200
Ann Arbor, MI 48104-1925

Phone 734-945-6210 · Fax 734-207-5326

Mailing address

122 S Main St Ste 200
Ann Arbor, MI 48104-1925

Phone 734-945-6210 · Fax 734-207-5326

Other practice locations

2488 Golfside Rd
Ypsilanti, MI 48197-1383

Phone 734-945-6210

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