Individual provider · Type 1 NPI

Cary Vonn Wickersham

Counselor · Stigler, OK

NPI number 1760796254 Active

Practice location

1105 NW 5th St
Stigler, OK 74462-1615

Call (918) 441-1669 Map

Fax (918) 967-8617

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 1760796254

Cary Vonn Wickersham's National Provider Identifier is 1760796254, issued on Jul 27, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Stigler, OK. The record was last updated on Jul 27, 2010.