Individual
MICHELLE M WICKERSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
476 HERITAGE PARK BLVD STE 220, LAYTON, UT 84041-5679
(801) 554-0006
(801) 899-7793
Mailing address
1084 WEAVER LN, LAYTON, UT 84041-3514
(801) 554-0006
(801) 899-7793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9012474-6004
UT
Other
Enumeration date
01/11/2019
Last updated
07/11/2025
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