JEANNE MARIE WICKHAM CAC II NPI 1265940696

NPI Information

NPI: 1265940696
Provider Name: JEANNE MARIE WICKHAM, CAC II
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5475 MARK DABLING BLVD STE 102
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 528-3500
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Jeanne Marie Wickham, CAC II is an addiction (substance use disorder) counselor in Colorado Springs, CO. Jeanne Marie Wickham, CAC II NPI is 1265940696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5475 MARK DABLING BLVD STE 102
COLORADO SPRINGS, CO
ZIP 80918-847
Phone: (719) 528-3500

The enumeration date for this NPI number is 1/19/2018 and was last updated on 1/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ACB.0007981	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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