MR. CARY VONN WICKERSHAM NPI 1760796254

NPI Information

  • NPI: 1760796254
  • Provider Name: MR. CARY VONN WICKERSHAM
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 1105 NW 5TH ST
    STIGLER, OK
    ZIP 74462
  • Phone: (918) 441-1669

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NPI Details

MR. Cary Vonn Wickersham is a counselor in Stigler, OK. 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. Cary Vonn Wickersham NPI is 1760796254. 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:

1105 NW 5TH ST
STIGLER, OK
ZIP 74462-615
Phone: (918) 441-1669
Fax: (918) 967-8617

The enumeration date for this NPI number is 7/27/2010 and was last updated on 7/27/2010.

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
1101Y00000XCounselorYes

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: 11/21/2025

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