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Individual
MISS ROBIN DENISE VICKERY
Active
Individual
MISS ROBIN DENISE VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001020523
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11621287
CAQH
—
01
—
152958
BLUE CROSS BLUE SHIELD
—
01
—
431116734
EAP INTERFACE
—
05
—
495346504
—
MO
01
—
763085
HEALTHLINK HMO
—
01
—
9875
EAP FEI BEHAVIORAL HEALTH
—
Enumeration date
07/27/2006
Last updated
01/21/2009
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