Individual provider · Type 1 NPI
Madison O'Hara Wickham
Marriage & Family Therapist · San Diego, CA
Practice location
928 Broadway
San Diego, CA 92101-5514
Fax (619) 481-3075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 156730 (CA) |
| Rehabilitation Practitioner | 225400000X | None listed |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
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About NPI 1699566174
Madison O'Hara Wickham's National Provider Identifier is 1699566174, issued on May 14, 2025. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Diego, CA. The record was last updated on Aug 12, 2025.