Individual provider · Type 1 NPI

Mason Fant Vickery

Addiction (Substance Use Disorder) Counselor · Greenville, SC

NPI number 1144929753 Active

Practice location

1400 Cleveland St
Greenville, SC 29607-2410

Call (864) 467-3790 Map

Mailing address

39 Smythe Ave
Greenville, SC 29605-4526

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1144929753

Mason Fant Vickery's National Provider Identifier is 1144929753, issued on Mar 2, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greenville, SC. The record was last updated on Mar 2, 2023.