Individual provider · Type 1 NPI
Tim J. McVicker, CADAC II
Addiction (Substance Use Disorder) Counselor · Wabash, IN
NPI number
1154416709
Active
Practice location
255 N. Miami St.
Wabash, IN 46992
Fax (260) 563-1902
Mailing address
850 N. Harrison St.
Warsaw, IN 46580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A1431R (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1154416709
Tim J. McVicker, CADAC II's National Provider Identifier is 1154416709, issued on Oct 3, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wabash, IN. The record was last updated on Jul 8, 2007.