Individual provider · Type 1 NPI
Diane Hayward Wickham, L.P.C.
Mental Health Counselor · Lincoln Park, MI
NPI number
1376761684
Active
Practice location
26300 Outer Dr.
Lincoln Park, MI 48146
Fax (313) 388-0472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6401002692 (MI) |
Mental Health Counselor: Definition to come...
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About NPI 1376761684
Diane Hayward Wickham, L.P.C.'s National Provider Identifier is 1376761684, issued on Apr 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lincoln Park, MI. The record was last updated on Jul 8, 2007.