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Individual

KRISTEN NICOLE WICKERHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
237 6TH STREET, PITTSBURGH, PA 15238
(412) 820-8328
(412) 820-8327
Mailing address
237 6TH STREET, PITTSBURGH, PA 15238
(412) 820-8328
(412) 820-8327

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
03/07/2013
Last updated
03/07/2013
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