Individual provider · Type 1 NPI
Shalanda Tookes Wilder, LMHCA, LPC-A
Mental Health Counselor · Georgetown, TX
NPI number
1033665161
Active
Practice location
313 Charles Trl
Georgetown, TX 78626-3055
Mailing address
100 N Howard St, Suite W
Spokane, WA 99201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | MC61672143 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1033665161
Shalanda Tookes Wilder, LMHCA, LPC-A's National Provider Identifier is 1033665161, issued on Aug 29, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Georgetown, TX. The record was last updated on Apr 22, 2025.