| NPI | 1457453268 |
|---|---|
| Other Name | MARION MAROLD VICKERMAN, MS, LMFT |
| Entity Type | Organization |
| Authorized Contact | MARION MAROLD VICKERMAN Owner 719-660-4039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 613) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2013-05-03 |