Summer Dawn Wickersham, CDCA
NPI #1023658515 in Gallipolis, Ohio
Provider Information
- NPI Number
- 1023658515
- Entity Type
- Individual
- Name
- Summer Dawn Wickersham, CDCA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CDCA
- Enumeration Date
- Jan 13, 2020
- Last Updated
- Jan 13, 2020
Practice Location
- Address
- 254 PINECREST DR
- City
- Gallipolis
- State
- Ohio
- ZIP Code
- 45631-1347
- Phone
- (740) 578-4824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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