Individual
KELLI VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 PREVATT RD, DOTHAN, AL 36301-5427
(334) 794-0731
Mailing address
134 PREVATT RD, DOTHAN, AL 36301-5427
(334) 794-0731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3327
AL
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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