Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB CHRISTIAN WICKHAM, CMPSS
ActiveJACOB CHRISTIAN WICKHAM, CMPSS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CAMPO, California. NPI 1376306183 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CAMPO, CA
Registration Details
- NPI Number
- 1376306183
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2024 (2.4943194611938 yrs)
- Last Updated
- Dec 17, 2025
- Licenses
-
R1536221123 (CA)MPSS-ZWRITX (CA)
Practice Information
- Address
-
1777 BUCKMAN SPRINGS RDCAMPO, CA, 919062022Browse CA providers · Browse ZIP 91906
- Phone
- 6194785696
- Fax
- 6194782404
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Peer Specialist
Other Addiction (Substance Use Disorder) Counselor Providers in CAMPO, CA
| Name | Credential | NPI |
|---|---|---|
| MS. ROXANNE MARIE HAGAN | — | 1275775751 |
| MR. GERALD R SHIREY III | CADC-II, ICADC | 1629554803 |
| MICHAEL LEE HUFFAKER | — | 1639655665 |
| MR. MICHAEL GEORGE DEHAMM | CADC II, ICADC | 1588141527 |
| MR. JAMES FRANCIS NOURIE | RADT-I | 1568921112 |
| MR. RICHARD ADALI SHAPLIN | CADC-CAS | 1467911016 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.