Hendricks, Vickie Marie

Hendricks, Vickie Marie is an individual health care provider with primary practice located at 4990 Rte 159 , Glen Carbon IL 62034. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hendricks, Vickie Marie can be contacted via phone (618) 288-1365.

Contact Information

Primary practice address
4990 Rte 159 Glen Carbon IL 62034
Phone: (618) 288-1365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1215081195
LBN Legal business name Hendricks, Vickie Marie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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