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General NPI Number Information
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NPI Number | 1174193833
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Entity Type | Organization
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Legal Business Name | WIKE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/25/2021
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 55 WETZEL DR STE 3
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City | HANOVER
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State | PA
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Zip | 17331-1131
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Country | US
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Telephone | 717-465-2353
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Fax | 717-345-5537
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Provider Business Mailing Address
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Address Line | PO BOX 382
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City | LITTLESTOWN
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State | PA
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Zip | 17340-0382
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Country | US
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Telephone | 717-465-2353
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE WIKE
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Credential | LPC, CAADC
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Telephone | 717-465-2353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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