person
Mr. David Alfred Wickman, ADDICTIONTHERAPIST
Addiction (Substance Use Disorder) Counselor in Appleton, Wisconsin
NPI 1396841839

David Alfred Wickman is an Addiction (Substance Use Disorder) Counselor based in Green Bay, WI and is specialized in Addiction (Substance Use Disorder). David Alfred Wickman practices in Appleton, WI and has the professional credentials of ADDICTIONTHERAPIST. The NPI Number for David Alfred Wickman is 1396841839 and holds a License No. 1624 (Wisconsin).

The current practice location address for David Alfred Wickman is 10 Tri Park Way, Appleton, WI and can be reached out via phone at 920-831-7908 and via fax at 920-831-7984.

Location: 10 Tri Park Way, Appleton, WI, 54302-2937
person
Provider Profile Details
NPI Number
1396841839
Provider Name
David Alfred Wickman
Credential
ADDICTIONTHERAPIST
Provider Entity Type
Individual
Gender
Male
Address
10 Tri Park Way, Appleton, WI, 54302-2937
Phone Number
920-831-7908
Fax Number
920-831-7984
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1624 01 WI WIS. CERTIFICATION BOARD
institution
Provider Business Practice Location Address Details
Address
10 Tri Park Way
City
State
Zip
54914-1658
Phone Number
920-831-7908
Fax Number
920-831-7984
person
Provider Business Mailing Address Details
Address
10 Tri Park Way
City
State
Zip
54914-1658
Phone Number
920-831-7908
Fax Number
920-831-7984
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1624 (Wisconsin)
Definition
Definition to come...
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