Individual provider · Type 1 NPI
Lynette Vickery, LCDC
Addiction (Substance Use Disorder) Counselor · Longview, TX
NPI number
1982400040
Active
Practice location
201 Pine Tree Rd
Longview, TX 75604-4140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2542 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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- Tony HallmarkAddiction (Substance Use Disorder) Counselor Longview, TX NPI 1134751407
About NPI 1982400040
Lynette Vickery, LCDC's National Provider Identifier is 1982400040, issued on Feb 20, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Longview, TX. The record was last updated on Feb 20, 2025.