Individual
MR. JAMES RICHARD VICCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPCC 388
CA
101YP2500X
Professional Counselor
Primary
P1505039
AR
106H00000X
Marriage & Family Therapist
2013015040
MO
106H00000X
Marriage & Family Therapist
M1501003
AR
106H00000X
Marriage & Family Therapist
MFC 44465
CA
Other
Enumeration date
12/05/2007
Last updated
05/12/2015
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