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Monica Wickham
Mental Health Counselor in Grants Pass, Oregon
NPI 1871913913

Monica Wickham is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Monica Wickham practices in Grants Pass, OR. The NPI Number for Monica Wickham is 1871913913 and holds a License No. (Oregon).

The current practice location address for Monica Wickham is 1215 Sw G St, Grants Pass, OR and can be reached out via phone at 541-476-2373 and via fax at 541-476-1526. You can also correspond with Monica Wickham through the mailing address at 1215 SW G ST, GRANTS PASS, OR - 97526-2544 (mailing address contact number: 541-476-2373).

Location: 1215 Sw G St, Grants Pass, OR, 97526-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871913913
Provider Name
Monica Wickham
Credential
Provider Entity Type
Individual
Gender
Female
Address
1215 Sw G St, Grants Pass, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
541-476-1526
Provider Enumeration Date
04/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1215 Sw G St
City
Grants Pass
State
Oregon
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
541-476-1526
person
Provider Business Mailing Address Details
Address
1215 Sw G St
City
Grants Pass
State
Oregon
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
541-476-1526
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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