Individual
MYCHELLE WICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(586) 405-6647
Mailing address
16201 25TH AVE W, LYNNWOOD, WA 98087-2520
(586) 405-6647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
09/23/2019
Last updated
07/28/2025
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