Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATY RUTH VICKERS
Active Sole ProprietorKATY RUTH VICKERS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PORT SAINT LUCIE, Florida. NPI 1396273629 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · PORT SAINT LUCIE, FL
Registration Details
- NPI Number
- 1396273629
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2017 (9.2519467865314 yrs)
- Last Updated
- May 31, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
1450 SE VESTHAVEN CIRPORT SAINT LUCIE, FL, 349528816Browse FL providers · Browse ZIP 34952
- Phone
- 7728014649
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PORT SAINT LUCIE, FL
| Name | Credential | NPI |
|---|---|---|
| RICHARD J MANSON | B.S.W. , CAP | 1215350806 |
| MR. LYLE R FRIED | CAP, ICADC | 1164175121 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.