Wickersham, Autumn
Wickersham, Autumn is an individual health care provider with primary practice located at 836 W South Boundary St , Perrysburg OH 43551. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wickersham, Autumn can be contacted via phone (419) 874-3201.Contact Information
Primary practice address
836 W South Boundary St
Perrysburg OH 43551
Phone: (419) 874-3201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1500510 | Ohio |
Profile Details
| NPI number | 1689127177 |
|---|---|
| LBN Legal business name | Wickersham, Autumn |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2016 |
| Last updated | Aug 1st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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