Jonathan Wilks, Lcsw, LLC
Social Worker, Clinical in Albuquerque, NM. Organization (NPI-2).
NPI number1164047841
StatusActive
Last updated in NPPESMay 28, 2022
Details
- NPI
- 1164047841
- Entity type
- Organization (NPI-2)
- Legal business name
- Jonathan Wilks, Lcsw, LLC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2020
- Certification date
- May 28, 2022
- Last updated
- May 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
4300 Woodrose Rd NwAlbuquerque, NM 87114-5578
Phone 505-553-6110
Mailing address
4300 Woodrose Rd NwAlbuquerque, NM 87114-5578
Phone 505-553-6110
Authorized official
Jonathan Daniel Wilks
Owner
5055536110
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