Wickering, Charlene

Wickering, Charlene is an individual health care provider with primary practice located at 3330 Claystone St Se , Grand Rapids MI 49546-7716. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wickering, Charlene can be contacted via phone (616) 942-8060.

Contact Information

Primary practice address
3330 Claystone St Se Grand Rapids MI 49546-7716
Fax: (616) 942-6690
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6802061419 Michigan

Profile Details

NPI number 1356311393
LBN Legal business name Wickering, Charlene
Credentials LMSW ACS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers