Individual
DANIEL WICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
904 GRANGER DR, ALLEN, TX 75013-1102
(972) 977-0203
Mailing address
904 GRANGER DR, ALLEN, TX 75013-1102
(972) 977-0203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12816
TX
101YM0800X
Mental Health Counselor
Primary
70313
TX
Other
Enumeration date
02/03/2016
Last updated
06/12/2023
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