Jill Janae Wickersham in Campbell - Marriage & Family Therapist
Jill Janae Wickersham - NPI 1477682235
Jill Janae Wickersham is a Marriage & Family Therapist in Campbell, California. Jill Janae Wickersham practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jill Janae Wickersham is 1477682235. The last update date is 2019-11-30.
Jill Janae Wickersham's current location address is 1600 W Campbell Ave Ste 201, Campbell, California. You can contact this provider via phone number 4088714908 and fax number 4088714903. The mailing address for Jill Janae Wickersham is 1600 W Campbell Ave Ste 201, Campbell, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Janae Wickersham |
|---|---|
| Address | 1600 W Campbell Ave Ste 201, Campbell, California |
| Phone Number | 4088714908 |
| Fax Number | 4088714903 |
| Sole Proprietor | Y |
| Credentials | MS IN MARR |
NPI Number Detail
| NPI Number | 1477682235 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2019-11-30 |
Provider Mailing Address Detail
| Address | 1600 W Campbell Ave Ste 201 |
|---|---|
| City | Campbell |
| State | California (CA) |
| Post Code | 950081526 |
| Phone Number | 4088714908 |
| Fax Number | 4088714903 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 44905 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Jill Janae Wickersham by the Centers for Medicare & Medicaid Services (CMS)?
The Jill Janae Wickersham has been assigned the NPI (National Provider Identifier) 1477682235. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jill Janae Wickersham is located?
The Jill Janae Wickersham is situated at the following address: 1600 W Campbell Ave Ste 201, Campbell, CA, 950081526.
What is Jill Janae Wickersham's area of expertise and its corresponding taxonomy classification?
The Jill Janae Wickersham's field of specialization is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1477682235 to Jill Janae Wickersham?
The Jill Janae Wickersham received its 1477682235 assignment from the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date were the Jill Janae Wickersham's details last updated?
The information pertaining to the Jill Janae Wickersham, including its address, specialty, and other details, was most recently updated on 2019-11-30.
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