Individual provider · Type 1 NPI

Vicki Kerley, CADC

Addiction (Substance Use Disorder) Counselor · Ardmore, OK

NPI number 1306074471 Active

Practice location

9 10th Ave NW
Ardmore, OK 73401-5929

Mailing address

PO Box 512
Springer, OK 73458-0512

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X29 (OK)
Addiction (Substance Use Disorder) Counselor 101YA0400X9182 (TX)

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

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About NPI 1306074471

Vicki Kerley, CADC's National Provider Identifier is 1306074471, issued on Jun 29, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ardmore, OK. The record was last updated on Jun 29, 2009.