Jacob Christian Wickham, CMPSS
Jacob Christian Wickham, CMPSS is an Addiction (Substance Use Disorder) Counselor in Campo, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1777 Buckman Springs RdCampo, CA 91906-2022
Phone: (619) 478-5696
Fax: (619) 478-2404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence R1536221123 (CA) |
|---|---|
| Peer Specialist | Taxonomy 175T00000X · Licence MPSS-ZWRITX (CA) |
Record details
| NPI number | 1376306183 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CMPSS |
| Sole proprietor | No |
| NPI enumerated | February 5, 2024 |
| Last updated in NPPES | December 17, 2025 |
| Certification date | December 17, 2025 |
| Mailing address | 1777 Buckman Springs Rd, Campo, CA 91906-2022 |
Other providers in Campo
-
Gabriel Bermudez Tabarez, RADT
1777 Buckman Springs Rd, Campo, CA 91906-2022 · (619) 478-5696
-
John Vargas, RADT
1777 Buckman Springs Rd, Campo, CA 91906-2022 · (619) 478-5696
-
Mr. Michael Derek Waters, RADT
1777 Buckman Springs Rd, Campo, CA 91906-2022 · (619) 478-5696
-
Zachary White
1777 Buckman Springs Rd, Campo, CA 91906-2022 · (619) 478-5696
-
Mr. Billy Don Wilson, CADC-CAS
1777 Buckman Springs Rd, Campo, CA 91906-2022 · (619) 478-5696