JOSEPH RONALD WICKS
NPI 1851982383
Counselor - Addiction (Substance Use Disorder) in Coburg, OR
Active since January 28, 2021
About Joseph Ronald Wicks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSEPH RONALD WICKS (NPI 1851982383) is an individual addiction (substance use disorder) provider in Coburg, Oregon, licensed in Oregon (T-21-562) and active in the NPI registry since January 2021.
NPPES Registry Identity
NPI1851982383
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOSEPH RONALD WICKS
Location Address1 SERENITY LNCoburg, OR 97408-9350
Mailing Address1 Serenity LnCoburg, OR 97408-9350 · (541) 687-1110
Phone(541) 687-1110
Sole ProprietorNo
Enumeration DateJanuary 28, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1851982383 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
License✔ Licensed in OR · T-21-562
1 SERENITY LN, Coburg, OR 97408
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.
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
COBURG, OR 97408
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851982383, enumerated as an "individual" on January 28, 2021.
The provider is located at 1 SERENITY LN COBURG, OR 97408 and the phone number is (541) 687-1110.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
