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NPI Code Detail

MEDICARE: CHRISTOPHER VICARO

MEDICARE:   CHRISTOPHER  VICARO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1730545278
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER VICARO
Provider Business Mailing Address
First Line : 20476 SISTERS RD
Second Line :
City : HAMMOND
State : LA
Zip : 70403-0836
Country : US
Telephone Number : 985-222-4956
Fax Number :
Provider Business Practice Location Address
First Line : 44118 STEIN RD
Second Line :
City : HAMMOND
State : LA
Zip : 70403-2512
Country : US
Telephone Number : 985-222-4956
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2016
Last Update Date : 02/11/2021

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Directions to “ CHRISTOPHER VICARO ” Practice Location

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