person
Joseph Ronald Wicks
Addiction (Substance Use Disorder) Counselor in Coburg, Oregon
NPI 1851982383

Joseph Ronald Wicks is an Addiction (Substance Use Disorder) Counselor based in Coburg, OR and is specialized in Addiction (Substance Use Disorder). Joseph Ronald Wicks practices in Coburg, OR. The NPI Number for Joseph Ronald Wicks is 1851982383 and holds a License No. T-21-562 (Oregon).

The current practice location address for Joseph Ronald Wicks is 1 Serenity Ln, Coburg, OR and can be reached out via phone at 541-687-1110.

Location: 1 Serenity Ln, Coburg, OR, 97408-9350
person
Provider Profile Details
NPI Number
1851982383
Provider Name
Joseph Ronald Wicks
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Serenity Ln, Coburg, OR, 97408-9350
Phone Number
541-687-1110
Fax Number
Provider Enumeration Date
01/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Serenity Ln
City
State
Zip
97408-9350
Phone Number
541-687-1110
Fax Number
person
Provider Business Mailing Address Details
Address
1 Serenity Ln
City
State
Zip
97408-9350
Phone Number
541-687-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-21-562 (Oregon)
Definition
Definition to come...
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