Individual provider · Type 1 NPI
Tina Wickersham, LMHC TEMP
Mental Health Counselor · Sioux City, IA
NPI number
1982159125
Active
Practice location
4323 Vine Ave
Sioux City, IA 51106-1958
Fax (712) 202-0780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 084138 (IA) |
Mental Health Counselor: Definition to come...
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About NPI 1982159125
Tina Wickersham, LMHC TEMP's National Provider Identifier is 1982159125, issued on Aug 17, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sioux City, IA. The record was last updated on Aug 17, 2016.