Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison O'Hara Wickham

Individual provider Marriage & Family Therapist · NPI 1699566174

Madison O'Hara Wickham is a Marriage & Family Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

928 Broadway
San Diego, CA 92101-5514
Phone: (619) 977-3716
Fax: (619) 481-3075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 156730 (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1699566174
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

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