Vickery, Robin Denise

Vickery, Robin Denise is an individual health care provider with primary practice located at 3001 Warrior Ln , Poplar Bluff MO 63901-8685. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Vickery, Robin Denise can be contacted via phone (573) 686-1200.

Contact Information

Primary practice address
3001 Warrior Ln Poplar Bluff MO 63901-8685
Phone: (573) 686-1200
Fax: (573) 686-1029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2001020523 Missouri

Profile Details

NPI number 1083638506
LBN Legal business name Vickery, Robin Denise
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 21st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083638506 NPPES
Other 431116734 EAP INTERFACE
Other 763085 EAP INTERFACE
Other 11621287 EAP INTERFACE
Other 9875 EAP INTERFACE
Other 152958 EAP INTERFACE
MEDICAID 495346504 EAP INTERFACE
Other 431116734 EAP INTERFACE

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