Wickersham, Jill Janae

Wickersham, Jill Janae is an sole proprietor health care provider with primary practice located at 1600 W Campbell Ave Ste 201 , Campbell CA 95008-1526. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wickersham, Jill Janae can be contacted via phone (408) 871-4908.

Contact Information

Primary practice address
1600 W Campbell Ave Ste 201 Campbell CA 95008-1526
Fax: (408) 871-4903
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 44905 California

Profile Details

NPI number 1477682235
LBN Legal business name Wickersham, Jill Janae
Credentials MS IN MARRIAGE AND F
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Nov 30th, 2019 - about 6 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.

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