| NPI | 1134677008 |
|---|---|
| Professional Name | BRIDGET CHARESE WICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 1698) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS CH3925) |
| 104100000X Social Worker (Licence: MS M11185) | |
| 104100000X Social Worker (Licence: TN 15729) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2024-11-06 |