Individual
COURTNEY WICKLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 FREEDOM DR, NAPOLEON, OH 43545-9021
(440) 260-8328
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 260-8328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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