person
Summer Dawn Wickersham, CDCA
Addiction (Substance Use Disorder) Counselor in Gallipolis, Ohio
NPI 1023658515

Summer Dawn Wickersham is an Addiction (Substance Use Disorder) Counselor based in Gallipolis, OH and is specialized in Addiction (Substance Use Disorder). Summer Dawn Wickersham practices in Gallipolis, OH and has the professional credentials of CDCA. The NPI Number for Summer Dawn Wickersham is 1023658515 and holds a License No. 171038 (Ohio).

The current practice location address for Summer Dawn Wickersham is 254 Pinecrest Dr, Gallipolis, OH and can be reached out via phone at 740-578-4824 and via fax at 740-578-4821.

Location: 254 Pinecrest Dr, Gallipolis, OH, 45631-1347
person
Provider Profile Details
NPI Number
1023658515
Provider Name
Summer Dawn Wickersham
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
254 Pinecrest Dr, Gallipolis, OH, 45631-1347
Phone Number
740-578-4824
Fax Number
740-578-4821
Provider Enumeration Date
01/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
254 Pinecrest Dr
City
State
Zip
45631-1347
Phone Number
740-578-4824
Fax Number
740-578-4821
person
Provider Business Mailing Address Details
Address
254 Pinecrest Dr
City
State
Zip
45631-1347
Phone Number
740-578-4824
Fax Number
740-578-4821
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
171038 (Ohio)
Definition
Definition to come...
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