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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