Individual
GINA WICKERSHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W ONTARIO ST STE 200, CHICAGO, IL 60654-6957
(920) 277-5493
Mailing address
3317 N CLAREMONT AVE, CHICAGO, IL 60618-6205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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