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Mr. Thaddeus Wicki, LMFT
Mental Health Counselor in Perris, California
NPI 1588788483

Thaddeus Wicki is a Mental Health Counselor based in Grand Terrace, CA and is specialized in Mental Health. Thaddeus Wicki practices in Perris, CA and has the professional credentials of LMFT. The NPI Number for Thaddeus Wicki is 1588788483 and holds a License No. MFC 42602 (California).

The current practice location address for Thaddeus Wicki is 1688 N Perris Blvd, Perris, CA and can be reached out via phone at 951-443-2200 and via fax at 951-443-2230.

Location: 1688 N Perris Blvd, Perris, CA, 92313-5543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588788483
Provider Name
Thaddeus Wicki
Credential
LMFT
Provider Entity Type
Individual
Gender
Male
Address
1688 N Perris Blvd, Perris, CA, 92313-5543
Phone Number
951-443-2200
Fax Number
951-443-2230
Provider Enumeration Date
03/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1688 N Perris Blvd
City
Perris
State
California
Zip
92571-4709
Phone Number
951-443-2200
Fax Number
951-443-2230
person
Provider Business Mailing Address Details
Address
1688 N Perris Blvd
City
Perris
State
California
Zip
92571-4709
Phone Number
951-443-2200
Fax Number
951-443-2230
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MFC 42602 (California)
Definition
Definition to come...
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