Individual
RACHEL NADINE VAN WICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS TLMFT
Contact information
Practice address
1754 5TH ST, CORALVILLE, IA 52241-1819
(194) 931-9351
Mailing address
30 S PARK RIDGE RD, NORTH LIBERTY, IA 52317-9806
(805) 448-7807
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
IA
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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