Individual provider · Type 1 NPI

Imani Vickers

Addiction (Substance Use Disorder) Counselor · Shelby, OH

NPI number 1548972144 Active

Practice location

2775 State Route 39
Shelby, OH 44875-9466

Call (419) 747-3322 Map

Mailing address

405 Jennings Ave
Mansfield, OH 44907-1400

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.182624 (OH)

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

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About NPI 1548972144

Imani Vickers's National Provider Identifier is 1548972144, issued on Dec 15, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shelby, OH. The record was last updated on Jan 25, 2023.