VICKIE LYNN JETER LCDC NPI 1356524664

NPI Information

NPI: 1356524664
Provider Name: VICKIE LYNN JETER, LCDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1633 18TH STREET
CORPUS CHRISTI, TX
ZIP 78404
Phone: (361) 887-7070
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Vickie Lynn Jeter, LCDC is an addiction (substance use disorder) counselor in Corpus Christi, TX. Vickie Lynn Jeter, LCDC NPI is 1356524664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1633 18TH STREET
CORPUS CHRISTI, TX
ZIP 78404
Phone: (361) 887-7070
Fax: (361) 888-9250

The enumeration date for this NPI number is 12/10/2007 and was last updated on 12/10/2007.

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)	9118	TEXAS	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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