Individual
NATALIE L WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LADC
Contact information
Practice address
600 EAST ST, NEW BRITAIN, CT 06051-2132
(203) 440-9975
(203) 440-9288
Mailing address
168 S MAIN ST, UNIT A, CHESHIRE, CT 06410-3110
(203) 440-9975
(203) 440-9288
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
08/04/2008
Last updated
09/22/2016
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