Individual
ANGELINA VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 W PENNSYLVANIA AVE, DELAND, FL 32720-3429
(386) 258-1618
Mailing address
500 BILL FRANCE BLVD UNIT 11465, DAYTONA BEACH, FL 32120-7102
(407) 900-7905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH19970
FL
Other
Enumeration date
03/30/2022
Last updated
07/15/2023
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