| Kathy Wickersham, | |
|
1398 E Luck Ln, Millcreek, UT 84106-2944 | |
| (801) 251-6767 | |
| Not Available |
| Full Name | Kathy Wickersham |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1398 E Luck Ln, Millcreek, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912156431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 10570331-6004 (Utah) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Wickersham, 1877 S Wyoming St, Salt Lake City, UT 84108-3235 Ph: (801) 712-1441 | Kathy Wickersham, 1398 E Luck Ln, Millcreek, UT 84106-2944 Ph: (801) 251-6767 |
Nicholas Blaise Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1141 E 3900 S Ste A170, Millcreek, UT 84124 Phone: 888-949-4864 | |
Frederick Charles Danneman Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2059 E 3900 S, Millcreek, UT 84124 Phone: 801-268-2558 | |
Jimmy 'jameson' Holman, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4190 S Highland Dr Ste 116, Millcreek, UT 84124 Phone: 385-276-2796 | |
Michelle M Wickersham, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 S 700 E Ste 300, Millcreek, UT 84107 Phone: 801-899-9492 Fax: 801-899-7793 | |
Jeffrey Alvin Lundgren, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4055 S 700 E Ste 103, Millcreek, UT 84107 Phone: 801-874-2679 | |
Moriah Elizabeth Mason, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4505 S Wasatch Blvd Ste 290, Millcreek, UT 84124 Phone: 385-695-5949 | |
Jennifer Michelle Panahinia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4578 S Highland Dr Ste 250, Millcreek, UT 84117 Phone: 385-800-1818 |