Individual
BONITA FERN WICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC, ADC-III, SAP
Contact information
Practice address
17629 EL CAMINO REAL, SUITE 115, HOUSTON, TX 77058-2901
(281) 971-1969
Mailing address
17629 EL CAMINO REAL, SUITE 115, HOUSTON, TX 77058-2901
(281) 971-1969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8405
TX
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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