Individual provider · Type 1 NPI

Kelly Vickrey

Addiction (Substance Use Disorder) Counselor · Chandler, AZ

NPI number 1699175000 Active

Practice location

3042 W Queen Creek Rd
Chandler, AZ 85248-2815

Fax (520) 796-2649

Mailing address

PO Box 923
Chandler, AZ 85244-0923

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISAC-11614 (AZ)

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

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About NPI 1699175000

Kelly Vickrey's National Provider Identifier is 1699175000, issued on Sep 4, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chandler, AZ. The record was last updated on Oct 25, 2024.