Individual provider · Type 1 NPI

Korick Wilkerson

Mental Health Counselor · Ruston, LA

NPI number 1003350604 Active

Practice location

721 Eastland Ave
Ruston, LA 71270-4607

Call (504) 939-1402 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003350604

Korick Wilkerson's National Provider Identifier is 1003350604, issued on Dec 15, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ruston, LA. The record was last updated on Dec 15, 2016.