Individual provider · Type 1 NPI

Kristina Wilkerson, QMHA, LPC

Professional Counselor · Dekalb, IL

NPI number 1396018024 Active

Practice location

14 Health Services Dr, C/o Family Service Agency Of Dekalb County
Dekalb, IL 60115-9637

Fax (815) 758-8159

Mailing address

1009 Aspen Ct, Apt 7
Dekalb, IL 60115-6523

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X1602498500 (NV)
Professional Counselor Primary 101YP2500X178012552 (IL)

Professional Counselor: Definition to come...

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About NPI 1396018024

Kristina Wilkerson, QMHA, LPC's National Provider Identifier is 1396018024, issued on Feb 10, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dekalb, IL. The record was last updated on Feb 23, 2017.