Individual
ANDREA REBECCA WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 W LA VETA AVE STE 208, ORANGE, CA 92868-4448
(714) 532-9295
Mailing address
705 W LA VETA AVE STE 208, ORANGE, CA 92868-4448
(714) 532-9295
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
06/14/2018
Last updated
07/26/2021
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