FREDERICK MARCUS VICKERY LPC LADC NPI 1215443049

NPI Information

NPI: 1215443049
Provider Name: FREDERICK MARCUS VICKERY, LPC, LADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2550 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55114
Phone: (952) 993-6200
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Frederick Marcus Vickery, LPC, LADC is a mental health counselor in Saint Paul, MN. Frederick Marcus Vickery, LPC, LADC NPI is 1215443049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2550 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55114-052
Phone: (952) 993-6200
Fax: (952) 977-1802

The enumeration date for this NPI number is 12/15/2017 and was last updated on 3/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	304457	MINNESOTA	No
2	101YM0800X	Counselor	Mental Health	02071	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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