Individual provider · Type 1 NPI

Stephen D. Wilke, PhD, MFT

Mental Health Counselor · San Diego, CA

NPI number 1194937128 Active

Practice location

16776 Bernardo Center Dr, 201
San Diego, CA 92128-2534

Mailing address

PO Box 503377
San Diego, CA 92150-3377

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC28178 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1194937128

Stephen D. Wilke, PhD, MFT's National Provider Identifier is 1194937128, issued on May 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.