Individual provider · Type 1 NPI
Katy Ruth Vickers
Addiction (Substance Use Disorder) Counselor · Port St. Lucie, FL
NPI number
1396273629
Active
Practice location
1450 SE Vesthaven Cir
Port St. Lucie, FL 34952-8816
Mailing address
PO Box 2721
Fort Pierce, FL 34954-2721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1396273629
Katy Ruth Vickers's National Provider Identifier is 1396273629, issued on May 31, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Port St. Lucie, FL. The record was last updated on May 31, 2017.