Provider Demographics
NPI:1710947049
Name:VICKERS-ROBINSON, VALERIE B (LPC)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:B
Last Name:VICKERS-ROBINSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:VALERIE
Other - Middle Name:B
Other - Last Name:VICKERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1430 WILLOW LN
Mailing Address - Street 2:WEST PARK C61-2
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-3551
Mailing Address - Country:US
Mailing Address - Phone:336-667-5151
Mailing Address - Fax:828-262-5687
Practice Address - Street 1:1430 WILLOW LN
Practice Address - Street 2:WEST PARK C61-2
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3551
Practice Address - Country:US
Practice Address - Phone:336-667-5151
Practice Address - Fax:828-262-5687
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4675101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2227096OtherCIGNA BEHAVIORAL HEALTH
NCE0904OtherMEDCOST
NC13863OtherBCBS OF NC
NC6102743Medicare ID - Type UnspecifiedPROVIDER ID #