Individual
ADAM WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC, LADC
Contact information
Practice address
1562 142ND AVE NW, ANDOVER, MN 55304-7640
(651) 260-1311
Mailing address
1562 142ND AVE NW, ANDOVER, MN 55304-7640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305343
MN
101YM0800X
Mental Health Counselor
Primary
4894
MN
Other
Enumeration date
06/30/2022
Last updated
05/14/2025
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