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Thomas M Vicknair, ACSW
Counselor in Sonora, California
NPI 1619467024

Thomas M Vicknair is a Counselor based in Sonora, CA. Thomas M Vicknair practices in Sonora, CA and has the professional credentials of ACSW. The NPI Number for Thomas M Vicknair is 1619467024 and holds a License No. 69707 (California).

The current practice location address for Thomas M Vicknair is 105 Hospital Rd, Sonora, CA and can be reached out via phone at 209-533-6245.

Location: 105 Hospital Rd, Sonora, CA, 95370-4618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619467024
Provider Name
Thomas M Vicknair
Credential
ACSW
Provider Entity Type
Individual
Gender
Male
Address
105 Hospital Rd, Sonora, CA, 95370-4618
Phone Number
209-533-6245
Fax Number
Provider Enumeration Date
05/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 Hospital Rd
City
Sonora
State
California
Zip
95370-5227
Phone Number
209-533-6245
Fax Number
person
Provider Business Mailing Address Details
Address
105 Hospital Rd
City
Sonora
State
California
Zip
95370-5227
Phone Number
209-533-6245
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
69707 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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