NPI 1194465104

Tod Wickersham, FNLPCFNCOM

Practitioner Health & Wellness Coach Verona, WI

Practice location

Address: 9206 Ashworth Dr, Verona, WI 53593-9196
Phone: (202) 322-2267

Registered specialties (3)

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Pastoral Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP1600X

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Health Educator

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1194465104
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2022
Record last updated: 29 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.