Individual
CHARLENE WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO # MSC63870, ALBUQUERQUE, NM 87131-4502
(505) 277-3136
(505) 277-2020
Mailing address
1 UNIVERSITY OF NEW MEXICO # 63870, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
(505) 277-2020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SWB-2023-1042
NM
Other
Enumeration date
09/22/2021
Last updated
03/21/2025
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