Individual provider · Type 1 NPI
Jaelyn Vickery, LSW
Counselor · Urbana, IL
NPI number
1659183309
Active
Practice location
2704 Boulder Dr
Urbana, IL 61802-6946
Mailing address
2491 Potters Turn
Kankakee, IL 60901-7392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 150.116036 (IL) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Other counselor providers in Urbana
About NPI 1659183309
Jaelyn Vickery, LSW's National Provider Identifier is 1659183309, issued on Jan 21, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Urbana, IL. The record was last updated on Jan 21, 2025.