Individual provider · Type 1 NPI

Madison Taylor Vickers, CADC-I

Addiction (Substance Use Disorder) Counselor · Carson City, NV

NPI number 1063194652 Active

Practice location

775 Fleischmann Way
Carson City, NV 89703-2995

Mailing address

1402 Pin Oak Dr
Gardnerville, NV 89410-7307

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X07445-I (NV)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063194652

Madison Taylor Vickers, CADC-I's National Provider Identifier is 1063194652, issued on Aug 2, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Carson City, NV. The record was last updated on Aug 2, 2023.