Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAINA WICKHAM
Active Sole ProprietorRAINA WICKHAM is a Mental Health Counselor healthcare provider located in PHILOMATH, Oregon. NPI 1457686073 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PHILOMATH, OR
Registration Details
- NPI Number
- 1457686073
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2009 (16.810816163045 yrs)
- Last Updated
- Nov 8, 2016
- Licenses
-
11-12-75 (OR)MASTERS - PSU (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1229 MAIN STREET, SUITE 105PHILOMATH, OR, 97370Browse OR providers · Browse ZIP 97370
- Phone
- 5416091305
- Fax
- 5417143770
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in PHILOMATH, OR
| Name | Credential | NPI |
|---|---|---|
| JANDA ANITA GRIGSBY | MA | 1992054316 |
| ELIAS DANIEL RADEMACHER | — | 1346930849 |
| AMANDA AKINS | — | 1366318917 |
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.