Individual
MRS. WENDY WIKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1950 E CLEAR LAKE DR, FORT MOHAVE, AZ 86426-6742
(928) 538-2011
Mailing address
1950 E CLEAR LAKE DR, FORT MOHAVE, AZ 86426-6742
(928) 538-2011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7386
ID
101YM0800X
Mental Health Counselor
Primary
LPC-24147
AZ
Other
Enumeration date
09/24/2021
Last updated
12/18/2025
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