person
Paul Wickersham, MS,LPC
Professional Counselor in Springfield, Missouri
NPI 1497153977

Paul Wickersham is a Professional Counselor based in Willard, MO and is specialized in Professional. Paul Wickersham practices in Springfield, MO and has the professional credentials of MS,LPC. The NPI Number for Paul Wickersham is 1497153977 and holds a License No. 2002020617 (Missouri).

The current practice location address for Paul Wickersham is 1675 E Seminole St, Springfield, MO and can be reached out via phone at 417-812-5263.

Location: 1675 E Seminole St, Springfield, MO, 65781-0496
person
Provider Profile Details
NPI Number
1497153977
Provider Name
Paul Wickersham
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
1675 E Seminole St, Springfield, MO, 65781-0496
Phone Number
417-812-5263
Fax Number
Provider Enumeration Date
12/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1675 E Seminole St
City
State
Zip
65804-2490
Phone Number
417-812-5263
Fax Number
person
Provider Business Mailing Address Details
Address
1675 E Seminole St
City
State
Zip
65804-2490
Phone Number
417-812-5263
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2002020617 (Missouri)
Definition
Definition to come...
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