Individual
JUANITA VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW LCSW C-ASWCM
Contact information
Practice address
7160 N MAYO TRL, PIKEVILLE, KY 41501-3151
(606) 657-9988
Mailing address
1657 STATE HIGHWAY 319, HARDY, KY 41531-8706
(606) 369-4230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
308424
KY
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
05/28/2026
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