Individual provider · Type 1 NPI
Kerry W. Wicks, MS, LAC, LPCC
Professional Counselor · Jamestown, ND
NPI number
1255429643
Active
Practice location
3952 Highway 281 SE
Jamestown, ND 58401-9408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1255429643
Kerry W. Wicks, MS, LAC, LPCC's National Provider Identifier is 1255429643, issued on Oct 11, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jamestown, ND. The record was last updated on Jul 8, 2007.