MR. Jerome Miranda Wicker is a counselor in Greenville, SC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Jerome Miranda Wicker NPI is 1811430408. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
124 MALLARD ST
GREENVILLE, SC
ZIP 29601-046
Phone: (864) 241-1040
Fax: (864) 241-8189
The NPI 1811430408 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 11/30/2016 and was last updated on 11/30/2016.