Individual provider · Type 1 NPI
Gina Wickersheim
Professional Counselor · Chicago, IL
NPI number
1073168928
Active
Practice location
401 W Ontario St Ste 200
Chicago, IL 60654-6957
Mailing address
3317 N Claremont Ave
Chicago, IL 60618-6205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1073168928
Gina Wickersheim's National Provider Identifier is 1073168928, issued on Aug 7, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Aug 7, 2019.