Individual
MADISON TAYLOR VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I
Contact information
Practice address
775 FLEISCHMANN WAY, CARSON CITY, NV 89703-2995
(775) 445-8889
Mailing address
1402 PIN OAK DR, GARDNERVILLE, NV 89410-7307
(775) 291-2535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07445-I
NV
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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