person
Diane Hayward Wickham, LPC
Mental Health Counselor in Lincoln Park, Michigan
NPI 1376761684

Diane Hayward Wickham is a Mental Health Counselor based in Lincoln Park, MI and is specialized in Mental Health. Diane Hayward Wickham practices in Lincoln Park, MI and has the professional credentials of LPC. The NPI Number for Diane Hayward Wickham is 1376761684 and holds a License No. 6401002692 (Michigan).

The current practice location address for Diane Hayward Wickham is 26300 Outer Dr., Lincoln Park, MI and can be reached out via phone at 313-388-4630 and via fax at 313-388-0472.

Location: 26300 Outer Dr., Lincoln Park, MI, 48146
person
Provider Profile Details
NPI Number
1376761684
Provider Name
Diane Hayward Wickham
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
26300 Outer Dr., Lincoln Park, MI, 48146
Phone Number
313-388-4630
Fax Number
313-388-0472
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
26300 Outer Dr.
City
State
Zip
48146
Phone Number
313-388-4630
Fax Number
313-388-0472
person
Provider Business Mailing Address Details
Address
26300 Outer Dr.
City
State
Zip
48146
Phone Number
313-388-4630
Fax Number
313-388-0472
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6401002692 (Michigan)
Definition
Definition to come...
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