Micky Wickersham, CMHC is a
Counselor - Mental Health based in Brighton, Utah. Micky Wickersham is licensed to practice in Utah (license number 9012474-6004) and her current practice location is
8155 S Brighton Loop Rd, Brighton, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 593-6777.
NPI number for Micky Wickersham is 1275007338 and her current mailing address is 7339 S Hickory Hill Cir, Salt Lake City, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275007338.
Healthcare Provider's Profile
Full Name | Micky Wickersham |
---|
Gender | Female |
---|
Speciality | Counselor - Mental Health |
---|
Location | 8155 S Brighton Loop Rd, Brighton, Utah |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275007338
- Provider Enumeration Date: 01/11/2019
- Last Update Date: 01/11/2019
Medical Identifiers
Medical identifiers for Micky Wickersham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275007338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 9012474-6004 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Micky Wickersham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Micky Wickersham, CMHC 7339 S Hickory Hill Cir, Salt Lake City, UT 84121-4410 Ph: (801) 554-0006 | Micky Wickersham, CMHC 8155 S Brighton Loop Rd, Brighton, UT 84121-9779 Ph: (801) 593-6777 |
Reviews and Comments