| Mr Thomas W Wickham, LPC | |
|
321 Red Oak Ln, Ingram, TX 78025-3616 | |
| (830) 377-8114 | |
| Not Available |
| Full Name | Mr Thomas W Wickham |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 321 Red Oak Ln, Ingram, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699832121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 18372 (Texas) | Primary |
| 101YM0800X | Counselor - Mental Health | 18372 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 18372 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas W Wickham, LPC 321 Red Oak Ln, Ingram, TX 78025-3616 Ph: (830) 377-8114 | Mr Thomas W Wickham, LPC 321 Red Oak Ln, Ingram, TX 78025-3616 Ph: (830) 377-8114 |
Mrs. Vicki Lynne Nordgulen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3352 Junction Hwy, Ingram, TX 78025 Phone: 830-367-4848 Fax: 830-367-7331 | |
Tonya Leigh Carson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Hi Top Rd, Ingram, TX 78025 Phone: 830-370-4799 | |
Shauna Ann Wickham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 Red Oak Ln, Ingram, TX 78025 Phone: 830-370-2562 |