Organization
CHARLES M VICKERS LSCSW PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M VICKERS LSCSW (PRESIDENT)
(785) 271-7848
Entity
Organization
Contact information
Practice address
1601 SW 37TH ST, TOPEKA, KS 66611-2646
(785) 271-7848
(785) 246-6361
Mailing address
1601 SW 37TH ST, TOPEKA, KS 66611-2646
(785) 271-7848
(785) 246-6361
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1833
KS
Other
Enumeration date
07/29/2005
Last updated
04/13/2010
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