Wickham, Monica

Wickham, Monica is an individual health care provider with primary practice located at 1215 Sw G St , Grants Pass OR 97526-2544. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wickham, Monica can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
1215 Sw G St Grants Pass OR 97526-2544
Phone: (541) 476-2373
Fax: (541) 476-1526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1871913913
LBN Legal business name Wickham, Monica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2014
Last updated Sep 8th, 2015 - about 10 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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