Randall Vickery, B.A.
Counselor in Pickens, SC. Individual provider (NPI-1).
NPI number1669922928
StatusActive
Last updated in NPPESOct 11, 2016
Details
- NPI
- 1669922928
- Entity type
- Individual (NPI-1)
- Name
- Randall Vickery
- Credential
- B.A.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2016
- Last updated
- Oct 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
309 E Main StPickens, SC 29671-2319
Phone 864-898-5800
Mailing address
1012 Bern CirAnderson, SC 29626-5401
Phone 864-314-4284
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