Doctor Name: | JAMES A WILKINSON |
NPI Number: | 1003023193 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MED, LPC |
License Number: | 6480 |
Business Practice Address: | 1930 Rawhide Dr Ste 302 Round Rock, TX - 786816954 |
Business Phone Number: | 5122462232 |
Business Fax Number: | 5122468030 |
Mailing Address: | 5000 Mission Oaks Blvd Unit 50, AUSTIN |
State: | TX |
Postal Code: | 787356745 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |