Individual
ROBERT H VICKREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCAC
Contact information
Practice address
101 E PARK DR, ALBION, IN 46701-1438
(260) 636-6884
(260) 636-3392
Mailing address
850 N HARRISON ST, WARSAW, IN 46580-3163
(574) 267-7169
(574) 269-5573
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001430A
IN
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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