Doctor Name: | JOYCE WILKERSON |
NPI Number: | 1689883126 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, SPE, CSC, RPT-S |
License Number: | 2001025448 |
Business Practice Address: | 1807 Avondale Ave Webb City, MO - 648709642 |
Business Phone Number: | 4174397472 |
Business Fax Number: | |
Mailing Address: | 1807 Avondale Ave, WEBB CITY |
State: | MO |
Postal Code: | 648709642 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 02/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2001025448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |