| Doctor Name: | MRS. DOROTHY WILKEN |
| NPI Number: | 1366871246 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | C.0900460 |
| Business Practice Address: | 335 Buckeye Blvd. Port Clinton, OH - 43452 |
| Business Phone Number: | 4197342942 |
| Business Fax Number: | 4197344922 |
| Mailing Address: | 212 Silvern St, HURON |
| State: | OH |
| Postal Code: | 448391228 |
| Phone Number: | 4197342942 |
| Fax Number: | 4197344922 |
| NPI Enumeration Date: | 11/01/2013 |
| NPI Last Update Date: | 11/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C.0900460 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |