person
Mrs. Kelly Lee Wickham
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1548476104

Kelly Lee Wickham is an Addiction (Substance Use Disorder) Counselor based in Glendale, CA and is specialized in Addiction (Substance Use Disorder). Kelly Lee Wickham practices in Los Angeles, CA. The NPI Number for Kelly Lee Wickham is 1548476104 and holds a License No. (California).

The current practice location address for Kelly Lee Wickham is 1147 S Alvarado St, Los Angeles, CA and can be reached out via phone at 213-381-8526 and via fax at 213-381-8533.

Location: 1147 S Alvarado St, Los Angeles, CA, 91202-1575
person
Provider Profile Details
NPI Number
1548476104
Provider Name
Kelly Lee Wickham
Credential
Provider Entity Type
Individual
Gender
Female
Address
1147 S Alvarado St, Los Angeles, CA, 91202-1575
Phone Number
213-381-8526
Fax Number
213-381-8533
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1147 S Alvarado St
City
State
Zip
90006-4100
Phone Number
213-381-8526
Fax Number
213-381-8533
person
Provider Business Mailing Address Details
Address
1147 S Alvarado St
City
State
Zip
90006-4100
Phone Number
213-381-8526
Fax Number
213-381-8533
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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