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MRS. KELLY LEE WICKHAM
NPI 1548476104
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since May 14, 2007
1147 S ALVARADO ST, LOS ANGELES, CA 90006(213) 381-8526(213) 381-8533 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Kelly Lee Wickham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY LEE WICKHAM (NPI 1548476104) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1548476104
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. KELLY LEE WICKHAM
Location Address1147 S ALVARADO STLos Angeles, CA 90006-4100
Mailing Address752 Glenwood RdGlendale, CA 91202-1575 · (818) 242-9357
Phone(213) 381-8526
Fax(213) 381-8533
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548476104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1147 S ALVARADO ST, Los Angeles, CA 90006
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANYA SANDERLIN
Counselor (Addiction (Substance Use Disorder))
1147 S ALVARADO ST
LOS ANGELES, CA 90006
Los Angeles County (213) 381-8518
MRS. DORA WILLIAMS
Counselor (Addiction (Substance Use Disorder))
1147 S ALVARADO ST
LOS ANGELES, CA 90006
Los Angeles County (213) 381-8500
DOROTHY CARLENE PLEASANT
Counselor (Addiction (Substance Use Disorder))
1147 S ALVARADO ST
LOS ANGELES, CA 90006
Los Angeles County (213) 381-8500
JOCELYN NICANOR JIMENEZ
Case Manager/Care Coordinator
1147 S ALVARADO ST
LOS ANGELES, CA 90006
Los Angeles County (213) 381-8500
MS. VONICE MARIE BERRY RADT-I
Counselor (Addiction (Substance Use Disorder))
1147 S ALVARADO ST
LOS ANGELES, CA 90006
Los Angeles County (213) 381-8500
SARAH BURTON
Counselor (Addiction (Substance Use Disorder))
1147 S ALVARADO ST
LOS ANGELES, CA 90006
Los Angeles County (213) 381-8534
AVIE MARIE JOHNSTONE
Counselor (Professional)
1147 S ALVARADO ST
LOS ANGELES, CA 90006
Los Angeles County (213) 381-8534
ALCOHOLISM CENTER FOR WOMEN
Case Manager/Care Coordinator
1147 S ALVARADO ST
LOS ANGELES, CA 90006
Los Angeles County (213) 381-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Wickham's NPI number?

The NPI number for Kelly Wickham is 1548476104. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Kelly Wickham located?

Kelly Wickham practices at 1147 S Alvarado St, Los Angeles, CA 90006. The listed phone number is (213) 381-8526.

What is Kelly Wickham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Wickham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.