Individual provider · Type 1 NPI
Jennifer Marie Wickersham, L.P.C.
Professional Counselor · Webster Groves, MO
NPI number
1023314168
Active
Practice location
69 Turf Ct
Webster Groves, MO 63119-4619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 002754 (MO) |
Professional Counselor: Definition to come...
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About NPI 1023314168
Jennifer Marie Wickersham, L.P.C.'s National Provider Identifier is 1023314168, issued on Feb 8, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Webster Groves, MO. The record was last updated on May 31, 2024.