Vann, Andre Spencer

Vann, Andre Spencer is an sole proprietor health care provider with primary practice located at 202 S Main St , Louisburg NC 27549-2522. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Vann, Andre Spencer can be contacted via phone (919) 435-8164.

Contact Information

Primary practice address
202 S Main St Louisburg NC 27549-2522
Phone: (919) 435-8164
Fax: (919) 526-9198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2658 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C008394 North Carolina

Profile Details

NPI number 1881943157
LBN Legal business name Vann, Andre Spencer
Credentials ,MSW, LCSW, LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2012
Last updated Jul 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881943157 NPPES
North Carolina Other 179YX BCBS
North Carolina MEDICAID 6112368 BCBS

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