EVELYN TERRY WICKS


Address: 11960 Heritage Oak Pl, Ste 15, Auburn, CA 95603-2401
Phone: 5308851961

EVELYN TERRY WICKS (NPI# 1427211465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427211465
Entity Type Individual
Full Name EVELYN TERRY WICKS
Credential DUI
Practice Address 11960 Heritage Oak Pl
Ste 15
Auburn
CA 95603-2401
Practice Telephone 5308851961
Practice Fax Number 5308850713
Mailing Telephone 5308851961
Mailing Fax Number 5308850713
Enumeration Date 2008-07-09
Last Update Date 2008-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
W0408271744 Behavioral Health & Social Service Providers

Office Location

Street Address 11960 HERITAGE OAK PL
STE 15
City AUBURN
State CA
Zip Code 95603-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215131206 Sierra Council On Alcoholism & Drug Dependence Counselor 11960 Heritage Oak Pl, Suite 15, Auburn, CA 95603-2401 2007-06-13
1548635451 Amy K Holthaus Physical Therapist 11960 Heritage Oak Pl, Suite 19, Auburn, CA 95603-2401 2015-12-02
1881944080 Pes-ebs.inc. Counselor 11960 Heritage Oak Pl, Ste 7, Auburn, CA 95603-2401 2012-09-14
1487902151 Pes-ebs.inc. Counselor 11960 Heritage Oak Pl, Ste 7, Auburn, CA 95603-2401 2012-08-28
1609153964 Hopw, Help & Healing Inc Community Based Residential Treatment Facility, Mental Illness 11960 Heritage Oak Pl, Suite #20, Auburn, CA 95603-2401 2011-11-14
1801191580 Melissa Keller Student in an Organized Health Care Education/Training Program 11960 Heritage Oak Pl, Ste 15, Auburn, CA 95603-2401 2011-01-11
1083844344 Diane Jean Buckman Physical Therapist 11960 Heritage Oak Pl, Suite 17, Auburn, CA 95603-2401 2009-07-21
1477708097 Traci Jean Hughes Case Manager/Care Coordinator 11960 Heritage Oak Pl, 15, Auburn, CA 95603-2401 2008-11-24
1952576498 Hope, Help & Healing Inc Substance Abuse Rehabilitation Facility 11960 Heritage Oak Pl, Suite #20, Auburn, CA 95603-2401 2008-04-25
1740468065 Dennis Joe Lyons Counselor 11960 Heritage Oak Pl, Auburn, CA 95603-2401 2008-02-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487271508 James Robert Thornton Social Worker 398 Rhoes View Dr, Auburn, CA 95603 2020-07-06
1437713674 June Meja Razzano Psychoanalyst 265 Nevada Station, Auburn, CA 95603 2019-04-23
1689175366 Georgia Lee Bates Speech-Language Pathologist 2145 Bell Road, 215, Auburn, CA 95603 2018-02-27
1811406085 Veronica Evette Magana Specialist 11485 C Ave, Auburn, CA 95603 2017-09-20
1043733777 Ken Rescate Physical Therapist 2145 Bell Road, #215, Auburn, CA 95603 2017-07-25
1730534975 Juanita Carey Counselor 1190 Heritage Oak Place, Auburn, CA 95603 2016-04-25
1255747010 Cara Wilber Marriage & Family Therapist 11512 B Avenure, Auburn, CA 95603 2014-07-01
1538572094 Mark Garrison Pharmacist 13386 Lincoln Way, Auburn, CA 95603 2014-06-03
1427460583 Tessa Jacques Marriage & Family Therapist 263 Nevada Station, Auburn, CA 95603 2014-05-23
1629497359 Elisabeth Ann Neubert-cook Registered Nurse 11484 B. Avenue, Auburn, CA 95603 2014-04-09
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164044715 James Raymond Watts Counselor 31624 117th Ave Se, Auburn, WA 98092-3697 2020-05-16
1992344329 Jessica Megan Basaldua Counselor 178 Gamage Ave Apt 1, Auburn, ME 04210-4573 2020-01-02
1104397314 Chanda Denise Allen Counselor 721 45th St Ne, Auburn, WA 98002-1303 2018-12-16
1447733746 Theodore Parfet Counselor 12183 Locksley Ln # 101102, Auburn, CA 95602-2004 2018-09-12
1033612742 Jeffery M Ostrom Counselor 12183 Locksley Ln Ste 201, Auburn, CA 95602-2052 2018-03-09
1972010650 Mountain Side Behavioral Health Counselor 70 College Way, Auburn, CA 95603-5001 2018-01-04
1962864421 Yesenia Estrada Counselor 11837 Kemper Rd Ste 2, Auburn, CA 95603-9067 2016-03-24
1235507419 Debra Rossi Counselor 12183 Locksley Ln Ste 103, Auburn, CA 95602-2050 2015-09-04
1023417136 Canaan Sampson Counselor 11837 Kemper Rd, Auburn, CA 95603-9067 2014-08-14
1053754416 Alex E Broady Counselor 17300 Se 392nd Street, Auburn, WA 98092 2013-04-16
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Competitor

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City AUBURN
Zip Code 95603

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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