Individual provider · Type 1 NPI

Kaely Nicole Wickham

Counselor · Seattle, WA

NPI number 1710507793 Active

Practice location

1700 Airport Way S
Seattle, WA 98134-1618

Call (206) 223-3644 Map

Mailing address

7012 25th Ave NE
Seattle, WA 98115-5812

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1710507793

Kaely Nicole Wickham's National Provider Identifier is 1710507793, issued on Apr 20, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Seattle, WA. The record was last updated on Apr 20, 2020.