| NPI | 1386009926 |
|---|---|
| Former Name | VICKI G TERRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 288258) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2023-12-11 |