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Individual

MR. JAMES JAY WICKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICD PROF COUNSELOR

Contact information

Practice address
165 SOUTH UNION BLVD, # 570 WESTSIDE BEHAVIORAL CARE INC, LAKEWOOD, CO 80228
(303) 397-0343
(303) 986-4973
Mailing address
165 SOUTH UNION BLVD, # 570 WESTSIDE BEHAVIORAL CARE INC, LAKEWOOD, CO 80228
(303) 397-0343
(303) 986-4973

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
132
CO

Other

Enumeration date
08/21/2006
Last updated
07/08/2007
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