Individual provider · Type 1 NPI

Wendy Wikstrom, LPC

Mental Health Counselor · Fort Mohave, AZ

NPI number 1962173302 Active

Practice location

1950 E Clear Lake Dr
Fort Mohave, AZ 86426-6742

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-24147 (AZ)
Mental Health Counselor 101YM0800X7386 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1962173302

Wendy Wikstrom, LPC's National Provider Identifier is 1962173302, issued on Sep 24, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Mohave, AZ. The record was last updated on Dec 18, 2025.