Provider Demographics
NPI:1851686216
Name:VINAS, DULCE X
Entity Type:Individual
Prefix:
First Name:DULCE
Middle Name:X
Last Name:VINAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 S GRANT ST
Mailing Address - Street 2:
Mailing Address - City:FITZGERALD
Mailing Address - State:GA
Mailing Address - Zip Code:31750-3313
Mailing Address - Country:US
Mailing Address - Phone:229-424-7000
Mailing Address - Fax:229-424-7074
Practice Address - Street 1:503 S GRANT ST
Practice Address - Street 2:
Practice Address - City:FITZGERALD
Practice Address - State:GA
Practice Address - Zip Code:31750-3313
Practice Address - Country:US
Practice Address - Phone:229-424-7000
Practice Address - Fax:229-424-7074
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor