Jaelyn Vickery, LSW

NPI #1659183309 in Urbana, Illinois

Provider Information

NPI Number
1659183309
Entity Type
Individual
Name
Jaelyn Vickery, LSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Credential
LSW
Enumeration Date
Jan 21, 2025
Last Updated
Jan 21, 2025

Practice Location

Address
2704 BOULDER DR
City
Urbana
ZIP Code
61802-6946
Phone
(217) 607-1678

Specialties & Taxonomy Codes

Specialty
Counselor

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