Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Vance, PCAT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871072405

Kenneth Vance, PCAT is an Addiction (Substance Use Disorder) Counselor in Jackson, Mississippi. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

3450 Highway 80 W
Jackson, MS 39209-7201
Phone: (601) 321-2400
Fax: (601) 985-5174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1871072405
Entity typeIndividual (Type 1)
GenderMale
Credentials PCAT
Sole proprietorNo
NPI enumeratedAugust 14, 2018
Last updated in NPPESAugust 14, 2018
Mailing address3450 Highway 80 W, Jackson, MS 39209-7201

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