Organization
WICKS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY LEE WICKS LPC (COUNSELOR)
(616) 805-4036
Entity
Organization
Contact information
Practice address
3304 CROYDEN AVE, KALAMAZOO, MI 49006-2079
(616) 805-4036
Mailing address
3304 CROYDEN AVE, KALAMAZOO, MI 49006-2079
(616) 805-4036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
02/24/2021
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