Individual
DAVID WICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5102 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7054
(910) 612-8123
Mailing address
5102 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7054
(910) 612-8123
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-23702
NC
Other
Enumeration date
06/20/2017
Last updated
08/12/2020
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