Organization
MATTHEW WADE WICHT
Active
Organization
MATTHEW WADE WICHT
Active
Other names
CONNEXIONS
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WADE WICHT LPC, NCC, CEAP (DIRECTOR)
(636) 225-8877
Entity
Organization
Contact information
Practice address
2222 N US HIGHWAY 67, FLORISSANT, MO 63033-2032
(314) 831-2225
Mailing address
700 GINGER WOOD CT, BALLWIN, MO 63021-8438
(636) 225-8877
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1035
MS
251B00000X
Case Management Agency
2001014011
MO
251S00000X
Community/Behavioral Health Agency
1035
MS
251S00000X
Community/Behavioral Health Agency
Primary
2001014011
MO
Other
Enumeration date
12/12/2007
Last updated
07/30/2008
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