person
Shauna Ann Wickham, LPC
Professional Counselor in Ingram, Texas
NPI 1972675957

Shauna Ann Wickham is a Professional Counselor based in Ingram, TX and is specialized in Professional. Shauna Ann Wickham practices in Ingram, TX and has the professional credentials of LPC. The NPI Number for Shauna Ann Wickham is 1972675957 and holds a License No. 20214 (Texas).

The current practice location address for Shauna Ann Wickham is 321 Red Oak Ln, Ingram, TX and can be reached out via phone at 830-370-2562.

Location: 321 Red Oak Ln, Ingram, TX, 78025-3616
person
Provider Profile Details
NPI Number
1972675957
Provider Name
Shauna Ann Wickham
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
321 Red Oak Ln, Ingram, TX, 78025-3616
Phone Number
830-370-2562
Fax Number
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20214 01 TX LPC LICENSE
institution
Provider Business Practice Location Address Details
Address
321 Red Oak Ln
City
State
Zip
78025-3616
Phone Number
830-370-2562
Fax Number
person
Provider Business Mailing Address Details
Address
321 Red Oak Ln
City
State
Zip
78025-3616
Phone Number
830-370-2562
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
20214 (Texas)
Definition
Definition to come...
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