Individual
KATHRYN WICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3595 S TELLER ST, LAKEWOOD, CO 80235-2014
(303) 425-0030
Mailing address
4851 INDEPENDENCE ST, SUITE 200, WHEAT RIDGE, CO 80033-6715
(303) 425-0030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0014096
CO
Other
Enumeration date
01/06/2015
Last updated
05/05/2021
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