Joy Evon Clikeman, LMFT
Individual provider Active NPI Marriage & Family Therapist · Elkhorn, WI
NPI 1154511269 · NPPES record last updated Jul 26, 2007
Key facts
- NPI
- 1154511269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 619-124 (WI)
- Practice address
- 1 1/2 W Geneva St
Elkhorn, WI 53121-1722 - Phone
- (262) 723-3424
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 619-124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Credence Therapy Associates Inc | Past |
Accepting new patients | |
| American Behavioral Clinics, SC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 619-124 | WI | Yes |
Addresses
Primary practice location
1 1/2 W Geneva St
Elkhorn, WI 53121-1722
Mailing address
1 1/2 W Geneva St
Elkhorn, WI 53121-1722
Phone (262) 723-3424
Other providers in Elkhorn, WI
- Chiropractic Center of Elkhorn LLC
- Chiros in Motion
- Lee Joel Christensen
- City of Elkhorn
- Daniel J Clausen
- Community Living Arrangements, Inc.
- Bonnie L Connolly
- County of Walworth
- County of Walworth
- County of Walworth
All providers in Elkhorn, WI · Marriage & Family Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.