JACOB CHRISTIAN WICKHAM

CAMPO, CA
NPI1376306183
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1536221123)
Enumeration Date2024-02-05
Last Update Date2024-02-05
Business Address
JACOB CHRISTIAN WICKHAM RADT
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906-2022
Phone number: 619-478-5696
Mailing Address
JACOB CHRISTIAN WICKHAM RADT
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906-2022
Phone number: 619-478-5696
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