Individual
CHARLES WICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
08/25/2014
Last updated
08/29/2022
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