IndividualActive
Malinda Thomas Vickery, CDCA
NPI 1811726847 · Addiction (Substance Use Disorder) Counselor · Willard, OH
Provider details
- NPI number
- 1811726847
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CDCA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
725 Wessor Ave
Willard, OH 44890-9417
Phone: (866) 512-1908
Approximate (ZIP-level) locationGet directions
Mailing address
725 Wessor Ave
Willard, OH 44890-9417
Registry dates
- Enumerated
- 2024-07-29
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.