MR. Kerry W. Wicks, MS, LAC, LPCC
NPI #1255429643 in Jamestown, North Dakota
Provider Information
- NPI Number
- 1255429643
- Entity Type
- Individual
- Name
- MR. Kerry W. Wicks, MS, LAC, LPCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MS, LAC, LPCC
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3952 HIGHWAY 281 SE
- City
- Jamestown
- State
- North Dakota
- ZIP Code
- 58401-9408
- Phone
- (701) 252-8939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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