Individual
MR. CHRISTOPHER G WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIMHP/LICSW
Contact information
Practice address
6550 S. 84TH STREET, SUITE 300, OMAHA, NE 68127
(402) 339-7991
(402) 339-7624
Mailing address
6550 S. 84TH STREET, SUITE 300, OMAHA, NE 68127
(402) 339-7991
(402) 339-7624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7944
NE
1041C0700X
Clinical Social Worker
Primary
1112
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470804773-26
—
NE
Enumeration date
06/07/2007
Last updated
10/10/2014
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