person
Ms. Lisa Gayle Vickery, CAC1,LBSW
Addiction (Substance Use Disorder) Counselor in Greenville, South Carolina
NPI 1336406529

Lisa Gayle Vickery is an Addiction (Substance Use Disorder) Counselor based in Greenville, SC and is specialized in Addiction (Substance Use Disorder). Lisa Gayle Vickery practices in Greenville, SC and has the professional credentials of CAC1,LBSW. The NPI Number for Lisa Gayle Vickery is 1336406529 and holds a License No. 1108266 (South Carolina).

The current practice location address for Lisa Gayle Vickery is 1400 Cleveland St, Greenville, SC and can be reached out via phone at 864-467-3790.

Location: 1400 Cleveland St, Greenville, SC, 29607-2410
person
Provider Profile Details
NPI Number
1336406529
Provider Name
Lisa Gayle Vickery
Credential
CAC1,LBSW
Provider Entity Type
Individual
Gender
Female
Address
1400 Cleveland St, Greenville, SC, 29607-2410
Phone Number
864-467-3790
Fax Number
Provider Enumeration Date
04/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 Cleveland St
City
State
Zip
29607-2410
Phone Number
864-467-3790
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Cleveland St
City
State
Zip
29607-2410
Phone Number
864-467-3790
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1108266 (South Carolina)
Definition
Definition to come...
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