MONICA WICKHAM

Counselor - Mental Health

Active Individual
NPI: 1871913913

Practice Address

1215 SW G ST
Grants Pass, OR 97526

Phone: (541) 476-2373

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X No -
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1871913913 is the National Provider Identifier for MONICA WICKHAM, a Counselor - Mental Health provider located in Grants Pass, OR. This NPI was enumerated on April 16, 2014.
MONICA WICKHAM practices at 1215 SW G ST, Grants Pass, OR 97526.

Quick Facts

NPI
1871913913
Type
Individual
Enumerated
Apr 16, 2014
Last Updated
Sep 8, 2015

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