Kristina Wilkerson, QMHA, LPC
Counselor, Professional in Dekalb, IL. Individual provider (NPI-1).
NPI number1396018024
StatusActive
Last updated in NPPESFeb 23, 2017
Details
- NPI
- 1396018024
- Entity type
- Individual (NPI-1)
- Name
- Kristina Wilkerson
- Credential
- QMHA, LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2012
- Last updated
- Feb 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 178012552 | IL | Yes |
| 101YM0800X | Counselor, Mental Health | 1602498500 | NV |
Practice location
14 Health Services DrC/O Family Service Agency Of Dekalb County
Dekalb, IL 60115-9637
Phone 815-758-8616 · Fax 815-758-8159
Mailing address
1009 Aspen CtApt 7
Dekalb, IL 60115-6523
Phone 702-517-0309
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All 61 Professional Counselor providers in Dekalb · All 1,126 providers in Dekalb
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