Individual
MRS. RANIESHA CHENELLE VICKERIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5246 PERRY OLIVER DR, HOPE MILLS, NC 28348-2635
(910) 922-4402
Mailing address
5246 PERRY OLIVER DR, HOPE MILLS, NC 28348-2635
(910) 922-4402
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/14/2022
Last updated
11/02/2024
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