Individual provider · Type 1 NPI
Jessica Ann Vickers, LCPC, LCADC
Addiction (Substance Use Disorder) Counselor · Elkton, MD
NPI number
1609223734
Active
Practice location
145 E Main St
Elkton, MD 21921-5917
Mailing address
121 Hopewell Dr
North East, MD 21901-3334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | LC14779 (MD) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCA3253 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1609223734
Jessica Ann Vickers, LCPC, LCADC's National Provider Identifier is 1609223734, issued on May 18, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elkton, MD. The record was last updated on Nov 29, 2024.