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KATHY WICKERSHAM

Mental Health Counselor

NPI: 1912156431IndividualAccepts Medicare

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

10570331-6004(UT)
Case Manager/Care Coordinator

Case Manager/Care Coordinator

Code: 171M00000X

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 2008

Contact & Hours

Address
1398 E LUCK LN
MILLCREEK, UT 84106

Quick Facts

NPI
1912156431
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
18

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