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Contact Information

BRAD VUNCANNON, CADC
104 NEWHOPE DRIVE
CORINTH, MS38834
 Phone: 662-287-7199
 Fax: 662-286-8095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for BRAD VUNCANNON · (Male)

NPI # 1205013158
Status Active
Credentials CADC
Entity Individual
Enumeration date 01/23/2008
Last updated 01/23/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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