Individual
MS. JESSICA BICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14344 CAJON AVE STE 101-103, VICTORVILLE, CA 92392-4300
(760) 243-3999
Mailing address
PO BOX 1477, VICTORVILLE, CA 92393-1477
(760) 243-3999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/27/2021
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