Individual provider · Type 1 NPI

Paul Wickersham, M.S., L.P.C.

Professional Counselor · Springfield, MO

NPI number 1497153977 Active

Practice location

1675 E Seminole St, Suite H-2
Springfield, MO 65804-2490

Call (417) 812-5263 Map

Mailing address

PO Box 496
Willard, MO 65781-0496

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2002020617 (MO)

Professional Counselor: Definition to come...

6 other providers at this address

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About NPI 1497153977

Paul Wickersham, M.S., L.P.C.'s National Provider Identifier is 1497153977, issued on Dec 15, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Dec 15, 2014.