Raina Wickham

NPI #1457686073 in Philomath, Oregon

Provider Information

NPI Number
1457686073
Entity Type
Individual
Name
Raina Wickham
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Oct 15, 2009
Last Updated
Nov 8, 2016

Practice Location

Address
1229 MAIN STREET, SUITE 105
State
Oregon
ZIP Code
97370
Phone
(541) 609-1305

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health

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