Individual provider · Type 1 NPI

Shauna Ann Wickham, LPC

Professional Counselor · Ingram, TX

NPI number 1972675957 Active

Practice location

321 Red Oak Ln
Ingram, TX 78025-3616

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X20214 (TX)

Professional Counselor: Definition to come...

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About NPI 1972675957

Shauna Ann Wickham, LPC's National Provider Identifier is 1972675957, issued on Nov 14, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ingram, TX. The record was last updated on Jul 8, 2007.