Individual
CARRI VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDRC
Contact information
Practice address
1001 GRAND AVE, SACRAMENTO, CA 95838-3512
(916) 929-1951
Mailing address
1001 GRAND AVE, SACRAMENTO, CA 95838-3512
(916) 929-1951
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10719
CA
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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