Individual
MAEGAN RENEE VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
402 OFFICE PARK DR STE 250, MOUNTAIN BRK, AL 35223-2493
(205) 936-9236
Mailing address
120 19TH ST N APT 408, BIRMINGHAM, AL 35203-3225
(205) 936-9236
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3577
AL
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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