Jessica Ann Vickers, LCPC, LCADC is a
Counselor - Addiction (substance Use Disorder) based in Colora, Maryland. Jessica Ann Vickers is licensed to practice in Maryland (license number LCA3253) and her current practice location is
24 N Friendship Ct, Colora, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 880-4905.
NPI number for Jessica Ann Vickers is 1609223734 and her current mailing address is 24 N Friendship Ct, Colora, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609223734.
Healthcare Provider's Profile
Full Name | Jessica Ann Vickers |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 24 N Friendship Ct, Colora, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609223734
- Provider Enumeration Date: 05/18/2016
- Last Update Date: 03/20/2024
Medical Identifiers
Medical identifiers for Jessica Ann Vickers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609223734 | NPI | - | NPPES |
520202700 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LC14779 (Maryland) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCA3253 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Ann Vickers is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Ann Vickers, LCPC, LCADC 24 N Friendship Ct, Colora, MD 21917-1431 Ph: (443) 880-4905 | Jessica Ann Vickers, LCPC, LCADC 24 N Friendship Ct, Colora, MD 21917-1431 Ph: (443) 880-4905 |
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