MRS. Kimberli Ann Wicks, LPC

NPI #1649487927 in Dallas, Oregon

Provider Information

NPI Number: 1649487927
Entity Type: Individual
Name: MRS. Kimberli Ann Wicks, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: May 17, 2007
Last Updated: Mar 29, 2024

Practice Location

Address: 1277 SE SHELTON ST
City: Dallas
State: Oregon
ZIP Code: 97338-2537
Phone: (582) 333-1364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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