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Diane Vickerman
Mental Health Counselor in San Andreas, California
NPI 1033530274

Diane Vickerman is a Mental Health Counselor based in Bear Valley, CA and is specialized in Mental Health. Diane Vickerman practices in San Andreas, CA. The NPI Number for Diane Vickerman is 1033530274 and holds a License No. (California).

The current practice location address for Diane Vickerman is 891 Mountain Ranch Rd, San Andreas, CA and can be reached out via phone at 209-890-7717.

Location: 891 Mountain Ranch Rd, San Andreas, CA, 95223-5222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033530274
Provider Name
Diane Vickerman
Credential
Provider Entity Type
Individual
Gender
Female
Address
891 Mountain Ranch Rd, San Andreas, CA, 95223-5222
Phone Number
209-890-7717
Fax Number
Provider Enumeration Date
12/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
891 Mountain Ranch Rd
City
San Andreas
State
California
Zip
95249-9713
Phone Number
209-890-7717
Fax Number
person
Provider Business Mailing Address Details
Address
891 Mountain Ranch Rd
City
San Andreas
State
California
Zip
95249-9713
Phone Number
209-890-7717
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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