MRS. Kelly Lee Wickham is an addiction (substance use disorder) counselor in Los Angeles, CA. MRS. Kelly Lee Wickham NPI is 1548476104. 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:
1147 S ALVARADO ST
LOS ANGELES, CA
ZIP 90006-100
Phone: (213) 381-8526
Fax: (213) 381-8533
The enumeration date for this NPI number is 5/14/2007 and was last updated on 7/8/2007.