Individual
MR. THOMAS W. WICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
321 RED OAK LN, INGRAM, TX 78025-3616
(830) 377-8114
Mailing address
321 RED OAK LN, INGRAM, TX 78025-3616
(830) 377-8114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
18372
TX
101YM0800X
Mental Health Counselor
18372
TX
101YP2500X
Professional Counselor
18372
TX
Other
Enumeration date
01/03/2007
Last updated
09/11/2025
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