Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAELYN VICKERY, LSW
ActiveJAELYN VICKERY, LSW is a Counselor healthcare provider located in URBANA, Illinois. NPI 1659183309 is currently active in the NPPES registry. Verify at CMS.
Counselor · URBANA, IL
Registration Details
- NPI Number
- 1659183309
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2025 (1.6030874404118 yrs)
- Last Updated
- Jan 21, 2025
- License
-
150.116036 (IL)
Practice Information
- Address
-
2704 BOULDER DRURBANA, IL, 618026946Browse IL providers · Browse ZIP 61802
- Phone
- 2176071678
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in URBANA, IL
| Name | Credential | NPI |
|---|---|---|
| MR. STEPHEN LEE BUSICK | MASTER OF ARTS IN CO | 1104095983 |
| MR. MICHAEL DAVID TROUT | M.A. | 1396048187 |
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.