Individual provider · Type 1 NPI
Jeanne Marie Wickham, LPC, LAC
Mental Health Counselor · Colorado Springs, CO
NPI number
1265940696
Active
Practice location
3225 Templeton Gap Rd Ste 111
Colorado Springs, CO 80907-8729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001464 (CO) |
| Mental Health Counselor Primary | 101YM0800X | LPC.0017285 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1265940696
Jeanne Marie Wickham, LPC, LAC's National Provider Identifier is 1265940696, issued on Jan 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Colorado Springs, CO. The record was last updated on Mar 17, 2025.