JOHN R. WICKS

SANTA MARIA, CA
NPI1942894803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-02-22
Last Update Date2021-02-22
Business Address
JOHN R. WICKS
115 E FESLER ST
SANTA MARIA, CA 93454-4404
Phone number: 805-922-6597
Mailing Address
JOHN R. WICKS
1115 E FESLER ST
SANTA MARIA, CA 93454
Phone number: 805-922-6597
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