Individual provider · Type 1 NPI

Lisa Gayle Vickery, CAC1, LBSW

Addiction (Substance Use Disorder) Counselor · Greenville, SC

NPI number 1336406529 Active

Practice location

1400 Cleveland St
Greenville, SC 29607-2410

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1108266 (SC)
Addiction (Substance Use Disorder) Counselor 101YA0400X1068 (SC)

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

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About NPI 1336406529

Lisa Gayle Vickery, CAC1, LBSW's National Provider Identifier is 1336406529, issued on Apr 12, 2012. 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 Apr 12, 2012.