Doctor Name: | MR. DAVID ALLEN WILKS |
NPI Number: | 1043478738 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MAED LPC |
License Number: | 895 |
Business Practice Address: | 117 First Street Black Mountain, NC - 287113103 |
Business Phone Number: | 8286697792 |
Business Fax Number: | |
Mailing Address: | 117 First Street, BLACK MOUNTAIN |
State: | NC |
Postal Code: | 28711 |
Phone Number: | 8286697792 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2008 |
NPI Last Update Date: | 05/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 895 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |