Individual
MR. JAMES RICHARD VICCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LPCC
Contact information
Practice address
1601 S RAINBOW RD, ROGERS, AR 72758-8821
(479) 254-1144
(479) 254-1099
Mailing address
1601 S RAINBOW RD, ROGERS, AR 72758-8821
(479) 254-1144
(479) 254-1099
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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