Individual
MRS. PEYTON VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 TOWNSHIP AVE STE 303, RIDGELAND, MS 39157-8699
(601) 963-2276
Mailing address
319 STEEPLE RDG, RIDGELAND, MS 39157-8748
(601) 613-6699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2764
MS
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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