KATHY WICKERSHAM

Counselor - Mental Health

Active Individual
NPI: 1912156431

Practice Address

1398 E LUCK LN
Millcreek, UT 84106

Phone: (801) 251-6767

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 10570331-6004 (UT)
Case Manager/Care Coordinator 171M00000X No -

Frequently Asked Questions

NPI 1912156431 is the National Provider Identifier for KATHY WICKERSHAM, a Counselor - Mental Health provider located in Millcreek, UT. This NPI was enumerated on September 9, 2008.
KATHY WICKERSHAM practices at 1398 E LUCK LN, Millcreek, UT 84106.

Quick Facts

NPI
1912156431
Type
Individual
Enumerated
Sep 9, 2008
Last Updated
Sep 20, 2022

Nearby Providers