Individual
MS. ABBIE LEIGH WICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
235 CENTER ST, BREWER, ME 04412-1961
(067) 561-9496
Mailing address
PO BOX 356, BANGOR, ME 04402-0356
(207) 249-0435
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC7099
ME
Other
Enumeration date
03/18/2021
Last updated
08/11/2023
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