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Individual

CHRISTOPHER CHAD WICHMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRADC, MARS, AND CS

Contact information

Practice address
1348 E MCDANIEL ST APT 19, SPRINGFIELD, MO 65802-3440
(417) 761-2049
Mailing address
1348 E MCDANIEL ST APT 19, SPRINGFIELD, MO 65802-3440
(417) 761-2049

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13865
MO

Other

Enumeration date
03/27/2023
Last updated
03/27/2023
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