Carl D Vincent
Carl D Vincent is a Mental Health Counselor in Moline, Illinois. Qualified in 1997, 29 years ago. Practices with Southpark Psychology Ltd, a 21-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 29
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
2100 52nd AveMoline, IL 61265-6366
Phone: (309) 797-2900
Fax: (309) 797-2147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X (IL) |
|---|
Record details
| NPI number | 1922019991 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 11, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 2100 52nd Ave, Moline, IL 61265-6366 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Southpark Psychology Ltd — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Moline
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April Schroeder
2728 41st St, Moline, IL 61265-7841 · (309) 524-3212
-
Southpark Psychology Ltd
2100 52nd Ave, Moline, IL 61265-6366 · (309) 797-2900
-
Synergy Counseling and Wellness PLLC
3811 16th St Ste 2, Moline, IL 61265-7269 · (563) 265-2949
-
Victoria Todd, LCPC
4600 3rd St, Moline, IL 61265-6106 · (309) 779-2031
-
Janice Elaine Willis, MS, LCPC
111 19th Ave, Moline, IL 61265-3754 · (309) 757-0300
-
Miss. Erica Willits, LCPC
4600 3rd St, Moline, IL 61265 · (309) 779-2082
-
Logan Wissing
1187 27th St, Moline, IL 61265-2316 · (563) 581-1661