Individual
TOD WICKERSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNLP, CFNC, OM
Contact information
Practice address
9206 ASHWORTH DR, VERONA, WI 53593-9196
(202) 322-2267
Mailing address
9206 ASHWORTH DR, VERONA, WI 53593-9196
(202) 322-2267
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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